questionnaire

*High School G.P.A.

*Last Name

*First Name

Middle Initial

*Street Address

*City

*Zip Code

*State

*Home Phone #

*Cell Phone #

*E-Mail Address

Date of Birth

*Fathers Last Name

*Fathers First Name

Mothers Last Name

Mothers First Name

*Fathers Occupation

Mothers Occupation

*Street Address

*City

*State

*Zip Code

Prospect Information

Guardian Information

*This address belongs to my:

Academic Information

*High School

*High School Graduation Year

Junior College

Junior College Graduation Year

Junior College G.P.A.

ACT

SAT Score

*Desired Major

Baseball Information

Primary Position

Secondary Position

Bats/ Throws

*Weight

*Height

*High School Coaches Name

Junior College Coaches Name

Phone Number

Phone Number

Summer Coaches Name

Summer Team Name

(Home)

Please print this form and submit to:

Mercer University

Coach Tim Boeth

1400 Coleman Avenue

Macon, GA 31207