Lenoir Community College Baseball Prospective Student-Athlete Questionnaire
Please answer the questions below, when finished click the Submit button. Form
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mail to the address below.

1. General Information

First Name: Middle: Last Name:
Address: City: State: Zip:
Home Ph: Cell Ph: Email Address:
Date of Birth: Father: Occupation:
Mother: Occupation: # of Siblings:
Names and Ages:
Other Colleges that have contacted you:
Are you registered with the Clearing House? If yes, what date?:


2. Academic Information

High School: Grad.Date: School Phone:
HS Address: City: State: Zip:
Career Major: GPA: Class Rank: out of
SAT Score Total: Verbal: Math: ACT Score:

3. Player Facts

Primary Position: Secondary Position:
Height: Weight: Bats Right/Left: Throws Right/Left:
Running time 60 yd: HS Coach's Home Phone: Cell:
Summer League Team: Summer Coach:
Summer Coach Home Phone: Cell Phone:
Have you been contacted by a professional team about being drafted?

If yes, which team?



For more information please contact:

Stony Wine, Head Baseball Coach
Lenoir Community College
P.O. Box 188
231 Hwy. 58 South
Kinston, NC 28502-0188
Phone - 252-527-6223, ext. 205
Fax - 252-233-6879