Volleyball

Questionnaire

Chadron State College
Armstrong Gymnasium, Chadron, NE 69337
Volleyball Office 308-432-6346
Natasha Marquis - Head Coach, nmarquis@csc.edu

Personal Information
First Name:
Middle Initial:
Last Name:
Mailing Address:
City:
State:
Zip:
Phone Number:
Cell Phone:
Email:
Date of Birth:
Father’s Name:
Father’s Occupation:
Mother’s Name:
Mother’s Occupation:
Sibling Names and Ages:
Academic Information
High School or Junior College Name:
School Address:
School Phone Number:
Principal:
Guidance Counselor:
Graduation Date:
GPA:
ACT Score:
SAT Score:
College Academic Interest:
Academic or Leadership Honors:
Top five colleges or universities you are interested in:
College and university teams that have shown interest in you:
Why are you interested in CSC?:
Volleyball Information
Are videos available?:	Yes No
Have you registered with the NCAA Clearinghouse?:	Yes No
High School Coach:
Coach’s Phone Number:
Primary Position:
Height:
Weight:
High School Record:
High School Class/Division:	1A, 2A, 3A, etc.
Block Touch:
Approach Touch:
Orientation:	Right Handed Left Handed
Club Teams:
Club Jersey Number:
Club Coach:
Club Coach’s Phone Number:
Club Schedule:
Volleyball Honors:
Please enter the following code:

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1000 Main Street, Chadron, NE 69337 • 1-800-CHADRON