Otero Junior College

PROSPECTIVE PLAYERS

The following questionnaire is for prospective OJC Women Basketball players.
Please fill out all the information below.

* Denotes a required field

Personal Information

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Phone:

Email Address:

Date of Birth:
(mm/dd/yyyy)

HS Graduation Date: (mm/dd/yyyy)

Excluding yourself, how many brothers/sisters under the age 24 do you have?
How many family members are currently enrolled in college as full-time students?

Academic Information

* Name of High School Attended:

High School's Address:

High School's City:

High School's State:

High School's Zip:

Current HS Cumulative GPA:

You class rank is out of students.

What is your intended course of study in college?

Have you taken any of the following college board tests?

Test	Date	Score
ACT
SAT

Athletic Information

Head Coach's Name:

Head Coach's Phone:

Height:

Weight:

Vertical Jump:
(in inches)

Years On Varsity:

Game Tape Available?

Yes
No

Do You Play On A Summer Team?

Yes
No

Summer Team Name:

Summer Team City:

Summer Team Coach Name:

Summer Team Coach Phone:

Basketball Averages

	Games	Points	Rebounds	Assists	Steals	Turnovers
Freshman
Sophomore
Junior
Senior

Thank you for your time. If you would like more information please contact me at the address below and list the names and addresses of any friends or teammates that would like information about OJC Women's Basketball. Call me if you have questions:

Taylor Wagner
Head Women's Basketball Coach
Otero Junior College
1802 Colorado Ave.
La Junta, CO 81050
(719) 384-6829
Taylor.Wagner@ojc.edu