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Women's Volleyball Potential Player Form

Please fill out the following form if you are interested in playing intercollegiate volleyball at Illinois
Valley Community College. Please mail this form to:

Illinois Valley Community College       (Please print or write legibly)
Attention: Women's Volleyball
815 N. Orlando Smith Avenue
Oglesby, IL 61348  

PROSPECT:

Name: ____________________________Position: ____________

HS Jersey #:  ____________

Address: __________________________City: _______________

State: _______Zip Code: _________

Telephone: ______________________Cell: __________________

Email: __________________________

High School: _______________________________

Address: ___________________________________

Coach’s Name:  _____________________

Coach’s home/Cell phone:  ______________________

Graduation Date: ____________GPA:  ________

Class Rank: ________SAT/ACT: ____________

 Height:  _______Weight: __________

Dominate Hand:  _________  

 Block Touch:  __________Approach Touch:  __________

Standing Reach: ___________ 

Club Team:  _________________________________

Club Coach: _________________________________

Club Coach Email:  ____________________________

Club Coach cell/home phone:  ____________________

 Club Jersey #:  ____________

Do you have a DVD available?  ________________

 

Department of Athletics*Volleyball*815 N. Orlando Smith Ave.*Oglesby, IL  61348

Phone:  815-224-0475  *  Fax:  815-224-0251  *  Email:  julie_sherbeyn@ivcc.edu

www. IVCC.edu/athletics/volleyball

*Please note:  Effective Fall 2013 all student athletes will be required to have primary
health insurance.  If you do not have primary insurance, please contact the Head Coach
and he will give you additional information regarding this matter.