Southwestern Community College 
Baseball Questionnaire
Contact Coach Brian Smith  ~ email: bsmith@swcciowa.edu
 
  Personal Information

Name:
 
Street Address:

City: 

State: 
 
Zip: 

Birthdate:

E-mail Address: 

Home Phone: 

Names of Parents or Guardians 
  Academic Information
High School: 

High School Address: 

Graduation Year: 

Academic Area of Interest: 
 Grade point average: 

Class ranking: 

ACT score: 

SAT score: 
  Athletic Information
High school baseball coach's name: 

Phone: 

Summer Coach's name:

Phone: 

Position played: 
  
Best or preferred position:

 Height: 

Weight:

Bat: 

Throw:


Future Baseball Goals:
 

List three qualified baseball talent judges who have seen you play:
(ex. Pro Scout, College Coach, College Player, Opposing Coach)

Name:   Phone:  

Name:   Phone:  

Name:   Phone:  

..