| Do you have what it takes to be a Penn Valley Scout? |
Complete the form, print, and forward to: Athletic Director, Marcus Harvey Metropolitan Community College - Penn Valley 3201 Southwest Trafficway Kansas City, MO 64111-2764 |
Personal Information
First Name: Middle Initial: Last Name:
Street Address: City: State:
Phone: (ex: 816-555-1212) Birth Date: (ex:10/10/01) Social Sec. No.
Father's Name: Mother's Name: Gender: Male Female
Academic Information
High School or Junior College currently attending:
ACT Score: SAT Score: HS GPA: JC GPA:
Academic interest: 1) 2)
Advisor or Counselor and School:
Basketball Information
Last school to play basketball for:
Height: Weight: Position(s): PPG:
Rebounds/Game: Assists: FG%: FT%:
Daily workout time: hours Are films available? Yes No
Should you have any questions, please call 816-604-4154; fax 816-759-4154;
or
email: Marcus.Harvey@mcckc.edu
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