Personal Information

Name:
E-MAIL Address:
Street Address:
City: State: ZIP:
Home phone: Date of birth(mm/dd/yy):  Age:
Height:   Weight:
Parent's name(s):

Scholastic Information

School Currently Attending:  
High School Junior College 4 year College/University
High School Classification: 5A   4A   3A   2A   1A  Private
Date of your graduation:
Grade point average:   Class rank:
ACT:   SAT:
Intended Major:

Athletic Information

Coach:    Coach's phone:
How long have you been playing baseball?
Position(s) played:
BAT: Left Right
Batting Average
THROW: Left Right
Have you ever attended any baseball camps? Yes No
If yes,indicate which ones, including any pro try-out camps:

Have you ever been contacted or drafted by a pro team? Yes No
If yes, indicate which organization(s):

Baseball honors:

Have you registered with the NCAA Initial-Eligibility Clearinghouse?
Yes No

If NO, contact your guidance counselor, who can obtain materials, at no cost, by calling the Clearinghouse at 319-337-1492. Registration with the NCAA Clearinghouse can also be done at www.ncaaclearinghouse.netAlso, when taking the SAT and ACT, scores can be sent to the clearinghouse by putting the clearinghouse's institution code "9999" in the box when registering to take the tests.