Recruiting

PHCC Recruiting Questionnaire

The Patrick Henry Community College Coaching Staff is dedicated to it’s student-athletes.
We look for students that are committed to excellence.

If you are interested in becoming a PHCC Patriot, we would like to hear from you.
For general questions about PHCC and the recruiting process please call or email the PHCC Athletic Director Brian Henderson @ (276)656-0313 or bhenderson@patrickhenry.edu
Please complete and submit the form below
This form is not an official PHCC Application
Check out The NJCAA Basic Eligibility Requirements for NJCAA athletes
Need a physical? Click and print this form! PHCC Med Form
Already coming to PH? Check out the student renter’s guide for college! http://www.bestcolleges.com/resources/student-renters-guide/

Contact Information

First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
State: *
Zip Code: *
Daytime Phone: *
Cell Phone: *
Email: *

About You

What Sport(s) are you Interested in at PHCC?: * To select multiple sports, hold the Control or Command button
Height:
Weight:
Dominant Hand:
Number of Siblings:
Do you have Family or Friends who attended PHCC?:

Education

High School: *
High School Address: *
City/State *
Phone Number: *
Guidance Counselor Name: *
Guidance Counselor Phone: *
When Do You Plan to Enter College?: *
ACT Score:
SAT Math:
SAT Verbal:
SAT Total:
Overall GPA (4.0 Scale): *
Class Rank:
Academic Honors:
Anticipated College Major?: *

Athletic History

High School Sports Played w/ Position: *
Achievements/Awards:
Statistics (Yearly & Career): *
School Records Held:
Are Video Tapes Available?: *
Has Anyone in Your Family Participated in College Atheltics? (Where & When): *
What do you know about PHCC?: *
What has been your Most Exciting moment while competing in High School Sports?:
What other schools are you interested in?:
Any previous injuries or medical history?:

Information About PHCC

Please Send me an Offical PHCC Application?	Yes No
Please Send me Financial Aid Information?	Yes No
Please mail me a PHCC Catalog?	Yes No
I'm Interested in Campus Visit Information?	Yes No

Questions & Comments

Comments:

I certify that all information given in this questionnaire, supporting documents, and interviews is correct to the best of my knowledge. I understand that any false information, omissions or misrepresentations of facts called for in the recruitment process may disqualify my recruitment.

Recruiting

PHCC Recruiting Questionnaire

Contact Information

About You

Education

Athletic History

Information About PHCC

Questions & Comments

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