Garden City Community College

Football Questionnaire

Date _____________ Social Security # _____________________________ Birth Date _____________________

Name _____________________________________ Nickname _____________________ Age ____________________

Address ___________________________________ City_______________________ State ________ Zip ___________

Home Phone ___________________ Best Time to Call _________________ Email ______________________________

Mother's Name ___________________________ Occupation _____________________ Education ___________________

Father's Name ___________________________ Occupation _____________________ Education ___________________

My Parents are: Married Divorced Separated I Live with: Mother Father Both Other

High School ___________________________ Head Coach _______________________ HS Phone ____________________

HS Address ___________________________ Head Coach's Alma Mater ________________________________________

Overall GPA _________ Test Score: ACT ________ SAT __________ College Major ___________________________

Favorite Class __________________________ Any Classes give you trouble? ______________________________

_______________________________________________________________________________________________________

Positions: Offense ___________ Defense ___________ Specialties _______________ Preference _________________

Height _________ Weight ___________ 40 Time ____________ Jersey # __________ School Colors ________________

Bench Max ____________ Squat Max ___________ Clean Max _____________ Vertical Jump __________

Football Athletic Honors _________________________________________________________________________________

Other Sports Participated in ______________________________________________________________________________

_______________________________________________________________________________________________________

Who is helping with your decision? ________________________ Most Influential person in your life? ________________

Friends at GCCC? _____________________________________ Hobbies? _______________________________________

Favorite Football Team _________________________________ Favorite Football Player __________________________

Print this form and mail to:

GCCC Football

Coach Brian Hill

801 Campus Drive

Garden City, KS 67846

Fax to:

Attention Coach Hill

(620) 276-9795

Email:

brian.hill@gcccks.edu

You can also contact Coach Hill at (620) 276-9591