Carolina Christian College
Prospective Player
Prospective Player Name
*
First Name
Last Name
Class of
*
Year you graduate or graduated from high school or Juco
High School or College
*
School Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date
G.P.A
*
Grade Point Average
ACT Score
SAT Score
What sport you want to play at CCC
Football
Women's Basketball
Men's Basketball
Men's Soccer
Position(s)
*
Height
*
Weight
*
Hudl or Highlight Film
*
Parent(s) or Guardian(s)
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Coach Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Character Reference
Please list (2) character reference. Name/Phone/Email
*
Can be a Counselor, Mentor, Teacher, Pastor, etc.
If you have attended a college, please provide.
College
Dates attended
Number of credits earned
G.P.A
Reason for leaving
Submit
Should be Empty: