Name First:

Middle:

Last:

Address:

City: State: Zip:

Date of Birth://

Career Interest: Major: Undecided Business Administration Elementary Education (P-5) English English Education (8-12) History Interdisciplinary Studies Middle School Education (5-9) Physical Education (P-12) Social Studies Education (8-12) Biological Science Education (8-12) Biology Physical Science Pre-Professional Degree

Grade Point Average (Non Weighted):

ACT Composite SAT:

Class Rank:/Year of Graduation:

High School:

City: State:  County: 

High School Coach:

Office  Phone: () -  Home Phone:() - 

Coach Email: 

Summer Baseball Team: League

Coach:

League Coach Phone:()-

Priority Position: Secondary Position:

Ht: Wt: Throw: Right Left  Bat:RightLeft     Time 60 YDS:

High School/JUCO Pitching (Last two years)

Yr GS CG IP H R ER SOBB W

-L-SV--

High School/JUCO Hitting (Last two years)

Yr Ab R H 2B 3B HRRBISBASB

E

BA

    As a possible student-athlete, you must file an application for federal and state financial aid. Your high school guidance counselor can help you or you may also contact our Financial Aid Office at (606) 368-2101 or Coach Cornett at (606) 368- 2108

Please return to:

Coach Scott Cornett
Athletic Department
Alice Lloyd  College
100 Purpose Road
Pippa Passes, Kentucky 41844