BLUE DRAGON FOOTBALL
Athlete Questionnaire
Hutchinson Community College
- 13
00 N Plu
m - Hutchinson KS, 67501
620-665-3584
• 620-665-3572 • 620-665-3386
Personal Information
Date
Student ID Number
First Name
Middle Name
Last Name
Address
City
State
Zip
Home Phone
E-mail
DOB
Fathers Name
Occupation
Work Phone
College Attended
Mother's Name
Occupation
Work Phone
College Attended
S
cholastic
I
nformation
High School
Address
City
State
Zip
Phone
Counselor
Phone
GPA
Graduation Date
Test Scores
ACT
SAT
Academic Interest
Career Interest
F
ootball
I
nformation
Football Coach
Phone: Home
Office
Position
Offensive:
Defensive:
Speciality:
K
P
LS
Returner
Height
Weight
40 yd Dash
Jersey #
Bench
Squat
Preferred College Position
:
Other Sports Played
:
Honors Received:
Top Three College Choices:
