Personal Information Section

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

Scholastic Information Section

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

Athletic Information Section

Coach:    Coach's phone:
Please list other sports played?
How long have you been playing volleyball?
Position(s) played:
Jersey number:    Vertical leap in inches:
Volleyball honors:
Do you have a video available? Yes No
Date Video Mailed:

Important!!! When you mail your video tape, please indicate your jersey number and jersey color.

Did you play club ball? Yes No
USVBA or Club Team:
USVBA or Club Coach:
Coach's Phone Number:

Have you registered with the NCAA Initial-Eligibility Clearinghouse?
Yes No Not Applicable

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.net. Also, 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.