Prospective Student-Athlete Questionnaire
For more information on Cottey College's athletic program, please contact Athletic Director Dave Ketterman, dketterman@cottey.edu.

First Name: *
Last Name: *
E-mail Address: *
Phone Number: * (Please include area code.)
Date of Birth: * (MM/DD/YYYY)
Mailing Address: *
City: *
State: *
Zip Code: *
Academic Information
High School Name: *
Phone Number: * (Please include area code.)
High School Address:
City:
State:
Zip Code:
Graduation Date: (MM/DD/YYYY)     Cumulative GPA:     Class Rank:
ACT Score:
SAT Score:
Counselor's Name:
Counselor's Phone Number:	Please include area code.
Scholastic Awards and Accomplishments:
Athletic Information
Sport:	Basketball     Volleyball     Softball
Best Position:
	Height:       Weight:
High School Coach:
Coach's Phone Number:	Please include area code.
Club Individual/Team Highlights:
Are video highlights available?	Yes   No
Upcoming tournament or league play where you can be seen:
Additional Information: