Recruiting Questionnaire

Please be aware, NJCAA rules and regulations prohibit coaches or other representatives of the college’s athletics interest from sending letters or electronic mail to high school students until after September 1 of their junior year in high school. While we are not permitted to write or e-mail high school students if they are not eligible per the above restriction, high school students are permitted to telephone coaches and administrators prior to the completion of their junior year in high school, but only at the high school student's expense.

Those who are freshmen or sophomores in high school are also permitted to contact the admissions office for information regarding Johnston Community College and its academic programs. You may call our Admissions Office at (919) 209-2128.

WARNING: If you are a student-athlete enrolled at another two year institution or if you have been enrolled at another two year institution in the last year (NJCAA Division I, II, III), NJCAA rules and regulations strictly prohibit us from having any communication with you, directly or indirectly, until that institution grants our institution permission to contact you. You may obtain this permission to contact by either contacting the Athletic Director or at the compliance office of your current or previous institution.

If you have any questions or concerns about NJCAA rules and regulation or if you have eligibility questions, please contact Johnston Community College’s Athletic Director at (919) 209-2123.

Prospective Student Athletes, please fill in this questionnaire.

Sports Interest :* Choose a Sport Men's Basketball Men's Golf Women's Golf Women's Volleyball

*Required

Personal Information
Last Name:*
First Name:*
Middle Name:
Street Address:*
City:*
State:*	AK AL AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Postal Code:*
Country:*
Telephone (include area code):*
Email:*
Birthdate (MM/DD/YYYY):

Academic Information
High School:
City:
State:	AK AL AR AZ CA CO CT DE FL GA HI ID IL IA KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
High School Telephone:
Guidance Counselor:
Current Grade:	Select Grade 9 10 11 12 Graduated
Graduation Date:
GPA(4.00 Scale):
Class Rank:
SAT:
ACT:
Academic Honors:
Academic Area of Interest:
* Have you registered with NCAA Clearing House: Yes No
* Are you currently enrolled, or have you been enrolled in a two or four-year college?: Yes No
College:		Date:
College:		Date:
College:		Date:

Athletics Information
Height:
Weight:
Position(s):
Left or Right Handed?:	Choose One Left Right Both
List career or most current season stats:
Athletic Honors(Include Year):
Team Championships(Include Year):
High School Coach:		Phone:
Club/Travel Team (If Applicable):
Club Coach:		Phone:
Do you have a skills video available?: Yes No
List any additional sports in which you currently or in the past participated:
Tell us why you're interested in Johnston Community College :
Would you like to receive a complete admissions packet and application? Yes No