Barton Online Forms

Baseball Questionnaire

Personal and Academic Information:

Full Name:	Social Security Number:	E-mail Address:


Permanent Address:	City, State and ZIP:	Home and Cell Phone Numbers:


Birth Date (MM/DD/YYYY):	Height:	Weight:


Parent/Guardian's Name(s):	Parent/Guardian's Occupation(s):	Name of High School:


High School Address:	City, State and ZIP:	High School Phone Number:


High School Coach's Name:	H.S. Coach's Phone Number:	Grade Point Average:


High School Graduation Date:	Rank in Class:	Areas of Academic Interest:


ACT or SAT Score:	Academic Awards/Honors/Etc:

Baseball Information:

Positions Played:	Preferred Position:	Bats and Throws:


Summer Team:	Summer Team City, State, ZIP:	Summer Coach's Name:


Summer Coach's Phone Number:	Varsity Letters Earned:	Baseball Honors/Awards/Etc:


60 Yd. Time:	Home to 1B Time:	Gun Time/Type of Gun:

List any professional scouts that have seen you play:
Please include scouts' organizations and phone numbers.

Statistics (record high school varsity stats only):

Pitchers (11th Grd.)
G: IP: W: L: R: ER: BB: K: H: ERA:

Hitters (11th Grd.)
AB: R: H: 2B: 3B: HR: RBI: BB: K: SB: BA:

Pitchers (10th Grd.)
G: IP: W: L: R: ER: BB: K: H: ERA:

Hitters (10th Grd.)
AB: R: H: 2B: 3B: HR: RBI: BB: K: SB: BA:

Pitchers (9th Grd.)
G: IP: W: L: R: ER: BB: K: H: ERA:

Hitters (9th Grd.)
AB: R: H: 2B: 3B: HR: RBI: BB: K: SB: BA:

IMPORTANT:
Send a VIDEO TAPE of yourself in BASEBALL ACTION to:
Barton County Community College
Baseball Office
245 NE 30th Road
Great Bend, KS 67530
(Video tapes will be returned when evaluation is complete.)

I will mail a video tape!
There is no video tape available.