LCC Volleyball Prospective Student-Athlete Questionnaire

Lenoir Community College Volleyball Prospective Student-Athlete Questionnaire
Please answer the questions below, when finished click the Submit button. Form
works best with Internet Explorer - you still have option to print, fill-out and mail
to the address below.

1. Personal Information

First Name:

Middle:

Last Name:

Address:

City:

State:

Zip:

Home Ph:

Cell Ph:

Email Address:

Date of Birth:

Parent/Guardian Name:

2. Academic Information

High School:

Graduation Date:

HS Address:

City:

State:

Zip:

Current GPA:

College Program of Study :

Student Honors:

3. Player Facts

Primary Position:

Secondary Position:

Height:

Weight:

Right/Left Handed:

Coach:

Coach's Home Phone:

JR. Yr - GMP # of:

Kills

Asst

Aces

Blocks

Digs

SR. Yr - GMP # of:

Kills

Asst

Aces

Blocks

Digs

Athletic Honors:

Other Sports Played:

For more information please contact:

Sheri Brinson, Head Volleyball Coach
Lenoir Community College
P.O. Box 188
231 Hwy. 58 South
Kinston, NC 28502-0188
Phone - 252-522-7482
Cell - 252-560-7885
Fax - 252-233-6890