Otero Junior College

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PROSPECTIVE PLAYERS

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

Personal Information

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone (or Cell):
Email Address:
Date Of Birth:
Mother's Name:
Phone (or Cell):
Father's Name:
Phone (or Cell):

Statistics & Player Information

Height:
Weight:
Position:
Club Team Name:
Coach's Name:
Coach's Phone:
High School:
High School Address:
Year of Graduation:
GPA:
SAT's:	(Math) (Verbal)

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 Soccer. Call me if you have questions:

Michael Bielski, Head Soccer Coach
Otero Junior College
1802 Colorado Ave.
La Junta, CO 81050
(719) 384-6808
michael.bielski@ojc.edu

Personal Information