Student Interest Form
Email
Secondary Email
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Email address *
First name *
Last name *
Address 1 *
City *
State *
ZIP Code *
Cell Phone Number *
Date of Birth *
High School/Previous School
Present School *
Graduation Date *
(Month/Year)
City
State
Athletics
Please list all sports participated in
Position/Positions played
Events competed in and best Times/Stats
(For Track & Field/Swimming
Height
Weight
(Optional)
Level of experience
(College, JC, Club, HS: Varsity, JV, Freshman)
Club/AAU Experience
(If any)
Other sports played
(If any)
Athletic Accomplishments
(Ex. All-Conference, Championships, Team Awards)
Recruiting Profile or Highlight/Game Film link
(If available)
Relatives who have attended Modesto Junior College
(If any)
The California Commission on Athletics has very specfic rules as they relate to the recruiting of players outside our recruiting area. One of the most important is the First Contact rule which says that You were responsible for making first contact with our program.
I agree that I made first contact with the Modesto Junior College Pirates *
I agree that I made first contact with the Modesto Junior College Pirates *
Agree
Submit
* required field