Jefferson College Volleyball Prospective Player Profile

Please complete this form in it's entirety, using the "TAB" key or your mouse to move to the next question and press "SUBMIT" when completed.  

Name:
E-Mail Address:
Address:
      

Phone: 

Cell Phone:

Date of Birth: 
Social Security Number: 
Height: 
Weight: 
Position: 
Standing Reach: 
Approach Touch:  

 Block Touch: 
Parent’s Name (s): 
High School:
Year Graduation: 
High School Coach:
Phone: 
Club Coach: 
Club Team: 
Club Coach Address: 
Phone: 
Coaches E-mail address: 
Volleyball Honors:
 
Additional Sports Participation and or Honors:
 
Academic Honors:
 
Other H.S. and Extracurricular Activities:
 
Are game tapes available?  Yes   No Please attach schedule.  


Aida Antanaviciute, Head Coach
Jefferson College, 1000 Viking Dr., Hillsboro, MO 63050
(636) 789-3000 or 797-3000, Ext. 390: Home phone (636) 789-3736
FAX # (636) 789-2419 E-Mail –aantanav@jeffco.edu