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OREDIGGER WOMENS VOLLEYBALL
PROSPECT QUESTIONNAIRE

First Name

Last Name

Date

Age

Height

Weight

Birthdate

ADDRESS INFORMATION

Street		City
State		Zip
Telephone		Email

Mother'sName		Occupation
Employer
Father's Name		Occupation
Employer

Parent's or Permanent Address:

Phone:

Street		City
State		Zip

SCHOOL INFORMATION

GPA

ACT score

SAT score

Class Rank

Anticipated College Major:

High School Name

Year of Graduation

Street		City
State		Zip

Junior College
Street		City
State		Zip

Guidance Counselor		School Phone
Coach's Name		Office Number

Home Phone

Conference/League

Division

Highest State School Division

VOLLEYBALL STATS

Position(s) Played:

Kills/Game

Hitting %

Assists/Game

Aces/Game

Blocks/Game

Digs/Game

Vertical Stats:

Standing Reach

Block Jump

Approach Jump

Athletic Injuries:

Honors (Academic/Athletic)

Any Questions Contact Marilyn Tobin:
mtobin@mtech.edu
Montana Tech
Womens Volleyball
1300 West Park Street
Butte, MT 59701
(406) 496-4337

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Questions and Comments:
1-800-445-TECH • 406-496-4178 • Email Us!