P&HCC Recruiting Questionnaire - Patrick & Henry Community College- Print Version

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone Number *

What sport(s) are you interested in at P&HCC? *

Height *

Weight *

Do you have family or friends that attend P&HCC?

Yes No

High School *

When do you plan to enter college? *

ACT Score *

SAT Total *

Overall GPA (4.0 scale) *

Anticipated college major? *

High School sports played with position *

Achievements/Awards *

Highlights/Film Available? *

Yes No

Has anyone in your family participated in College Athletics (where and when)?

What other schools are you interested in?

Please send me an official P&HCC Application

Yes No

Please send me financial information

Yes No

I'm interested in a campus visit

Yes No

Additional questions, comments or concerns

I certify that all information given in this questionnaire, supporting documents, and interviews is correct to the best of my knowledge. I understand that any false information, omissions or misrepresentations of facts called for in the recruitment process may disqualify my recruitment. *

Agree

* required field