Legal First Name
Legal Last Name
Suffix
Preferred Name
Address Line 1
Address Line 2
City
State
Zip Code
Country
Primary Phone Number
Email Address
Birth Date
Parents Names
Name of High School (do not abbreviate)
High School Address
High School Phone
Graduation Year
Academic Honors
High School Grade-Point Average
Have you attended any other colleges?
Have you ever applied to KCC?
Intended program of study.
Do you intend to apply for financial aid?
Current Team (if different from high school)
Coach's Name
Coach's Phone
Other colleges you are interested in
Main Sport
All-Conference honors in career (first team as a junior, etc.)
Other Athletic Honors in Career (all-state, all-area, etc.)
Other Honors
Team Highlights in career
