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Softball Questionnaire

Email Secondary Email

There are errors with your form submission. Please review and submit again

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

High School Information

Name of High School *

(Include Jersey #)

Graduation Year *

Intended Major *

High School Coach

(Name & E-mail Address)

Position(s) Played

Pitcher Catcher First Base Second Base Third Base Shortstop Left Field Center Field Right Field

Batting Avg.

RBI's

Stolen Bases

Pitchers-ERA

Pitches Thrown

Honors Received

Summer Ball Information

Name of Summer Team

(Include Jersey #)

Summer Coach

(Name & Email Address)

Position(s) Played

Pitcher Catcher First Base Second Base Third Base Shortstop Left Field Center Field Right Field

Batting Avg.

RBI's

Stolen Bases

Pitchers-ERA

Pitches Thrown

* required field

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Allen Community College | 1801 N Cottonwood Street | Iola, KS 66749 | Phone (620) 365-5116 | Fax (620) 365-7406

Allen community college is committed to a policy of nondiscrimination on the basis of race, color, sex, national origin, religion, age, and disability in admissions, educational programs or activities, and employment; all as required by applicable laws and regulations under the title vi civil rights act of 1964, the title IX regulations of 1972, section 504 of the social rehabilitation act of 1973, and the americans with disability act of 1990. responsibility of coordination of compliance and receipt of inquiries has been delegated to the vice president for student affairs, allen community college, 1801 north cotton wood street, iola, kansas 66749
620-365-5116,vpsa@allencc.edu.
@allen community college. all rights reserved.