JCA Questionnaire

Address

Daytime Phone

- Area Code Phone Number
Evening Phone

- Area Code Phone Number
Graduation Year
Date of Birth
Parent/Guardian Name
Parent/Guardian Cell
Parent/Guardian Email
Parent/Guardian Phone
Coach's Information
Coach's Name
Coach's Contact Number
Coach's Email
Football
Primary Football Position(s)

QB WR RB FB TE OL DB LB DL CB SS DT DE K P Long Snapper
Secondary Football Position(s)

QB WR RB FB TE OL DB LB DL CB SS DT DE K P Long Snapper
Track
Primary Track Position(s)

100 200 400 800 1600 3200 110 Hurdles 440 Hurdles Javelin Shot Put Discus Pole Vault 4X100 4X200 4X400 Sprint Medley Long Medley Marathon
Secondary Track Position(s)

100 200 400 800 1600 3200 110 Hurdles 440 Hurdles Javelin Shot Put Discus Pole Vault 4X100 4X200 4X400 Sprint Medley Long Medley Marathon
Wrestling
Wrestling Primary

125 133 141 149 157 165 174 184 197 285
Wrestling Secondary

125 133 141 149 157 165 174 184 197 285
Basketball
Primary Basketball Position(s)

PG SG SF PF C
Secondary Basketball Position(s)

PG SG SF PF C
Ice Hockey
Primary Ice Hockey Position(s)

C LW RW G LD RD
Secondary Ice Hockey Position(s)

C LW RW G LD RD
Physical Stats
Height
Weight
40 Yard Dash
Academic History
Athletic Honors
Other Varsity Sports Played
High School/College
GPA
SAT Math
SAT Verbal
SAT Writing
SAT Total
ACT Score
Additional Information/Comments/Questions
Highlight Link
Intended Major
Comments/Questions
Should be Empty: