• Prospective Players Questionnaire

    Personal Information

     
    Name:
    Email:
    Address:
    City:
    State:
    Zip Code:
    Home Phone:
    Cell Phone:
    Height:
    Weight:
    Father's Name:
    Father's Occupation:
    Mother's Name:
    Mother's Occupation:
    Do you have game tape available? Yes No
    Academic Information
     
    High School:
    Phone Number:
    Year of Graduation
    Current GPA:
    ACT Score:
    SAT Score: Verbal
    SAT Score: Total
    Counselor Name::
    Desired College Major:
    High School Athletic Information
     
    Coach's Name:
    Coach's School Phone:
    Coach's Home Phone:
    Coach's Cell:
    Coach's Email:
    Primary Position:
    Secondary Position:
    Uniform #:
    Club/Summer Team Information
     
    Team Name:
    Coach's Name:
    Coach's Home Phone:
    Coach's Cell:
    Coach's Email:
    Primary Position:
    Secondary Position:
    Uniform #:
    Miscellaneous Information
     
    Reason for interest in the Mt. Hood Community College Men's Basketball Program :

    Academic and athletic goals:

    Other hobbies, sports or activities:

    List the top three college of your choice: (In order of preference)

    Sports Specific - Basketball
     
    Pts/Game
    Rebs/Game
    Asst/Game
    Stls/Game
    Blks/Game
    Name three of the best players you have played against (name/height/school):
     
    PLEASE EITHER PRINT AND SEND THE COMPLETED QUESTIONAIRE TO:

    John Hawley
    Mt. Hood Community College
    Department of Athletics - Men's Basketball
    26000 SE Stark St
    Gresham Oregon 97030

    OR

    CLICK THE SUBMIT BUTTON and it will be sent directly to Coach Hawley's Email