Player Profile Form

What sport(s) are you interested in:_________________________________________________

Name: ____________________________________________________

Address: __________________________________________________

Phone #: __________________________________________________

Social Security #:____________________________________________

Date of Birth: ______________________________________________

Ht:_______ Wt:_______

High School & Year of Graduation:________________________________________________

Have you applied to the NCAA clearing house: Yes No

Have you attended any other colleges: Yes No

If so, Please list:

Name of School Years Attended Sport(s) Played

___________________________________________________________________________

Please list important statistics:

___________________________________________________________________________

Please return to:

Columbus State Community College
Athletics Recruiter
Delaware Hall 134
550 East Spring Street
Columbus Ohio  43215