First Name: ____________________ Last Name: ___________________________

Parents Names:____________________________ Phone:____________________

Address:________________________________________________________

City:_______________________ State:_____________ Zip Code:_________

Email Address:_____________________________________________________

High School:__________________________ Year in School:_____________

Graduation Year:______________

High School Address:______________________________________________

GPA:___________ ACT:____________ SAT:_____________

Possible Major in College:________________________________________

Date of Birth:______________________________

 

Athletic Information

Postion Played:_________________ Ht.__________ Wt:________

Please check one box:_____ Right Handed ______ Left Handed

One Hand Standing Reach:__________ Block Jump Reach:_____________

Approach Jump Reach:_____________

Volleyball Club Name and Number of years played:____________________________

_____________________________________________________________________

Coach's Name:________________________ Work #:______________ Home #:______________

Honors/Awards won in Volleyball:__________________________________________________

A VHS Videotape of my Volleyball Skills and Competitions is available: Yes:_____ No:______

 

Please Return to:

Jim Ragosta

Head Women's Volleyball Coach

Lake Michigan College

2755 E. Napier Ave.

Benton Harbor, MI 49022