Conference Carolinas NCAA

Prospective Student Athlete Form

Are you looking for Swimming or Lacrosse prospective forms?

Personal Information:
Last Name:
First Name:
Preferred Name:
Middle Initial:
E-Mail:
Home Phone:
Street Address:
City:
State:
Zip:
Birth Date:
Parent or Guardian Name (For Clearinghouse Purposes):
Are you Clearinghouse registered?
Academic Information:
High School:
School Phone
High School Address:
Anticipated Graduation Date:
Class Rank: of
Grade Point Average:
Preferred College Course of Study/Academic Interests:
SAT Verbal Score:
SAT Math Score:
PASAT Score:
ACT Score:
Other colleges you are considering:

Athletic Information:

Please complete only the sport categories in which you are interested in participating

Basketball:
Handedness:
Height:
Weight:
High School Team Info:
HS Coach:
HS Team Name:
Positions:
Years Played:
Team and/or Individual Achievements:
Statistics:
Club Information:
Club Coach:
Club Team Name:
Positions:
Years Played:
Team and/or Individual Achievements:
Statistics:
AU (Amateur Athletic Union) Information:
AAU Coach:
AAU Team Name:
Positions:
Years Played:
Team and/or Individual Achievements:
Statistics:
Cross Country:
Personal Best Time by event:
Height:
Weight
High School Team Information:
HS Coach:
HS Coach's Phone:
Athletic Awards:
Comments/Additional Information:
Soccer
Registered With Clearinghouse?
Are you on, or have you tried out for, the state ODP team?
Schools Considering:
Honors Received:
High School Team Information:
High School Name:
Coach Name:
Coach's Phone:
Position:
Club Information:
Club Team Name:
Club Coach
Coach's Phone
Location of Team:
Position:
Tennis:
USTA Ranking
Juniors Record:
Height:
Weight:
Club Coach:
Club Coach's Phone:
High School Team Information:
HS Coach
HS Coach's Phone::
Position: Singles:
Doubles:
Record: Singles:
Doubles:
# Years Played:
Comments/Additional Information:
Volleyball:
Handedness:
Height:
Weight:
High School Team Information:
HS Coach:
Positions:
Years Played:
Team and/or Individual Achievements:
Statistics:
Club Information:
Club Coach:
Club Team Name:
Positions
Years Played::
Team and/or Individual Achievements:
Statistics:
AAU (Amateur Athletic Union) Information:
AAU Coach:
AAU Team Name:
Positions:
Years Played:
Team and/or Individual Achievements:
Statistics: