Prospective Student/Athlete Questionnaire

Please provide your information to the IVC athletics office by completing the form below.

Personal Information

Name:

(Last)

(First)

(Middle)

Gender:

MaleFemale

Date of Birth:

(mm/dd/yyyy)

Email:

Home Phone: Cell Phone:

Home
Address:

(Street)

(City)

(State)

(Zip)

List any relatives of friends associated with Irvine Valley College:

High School:		Graduation Date:
Grade-point average:		Anticipated major:
Previous colleges (junior and four year):
Address:	(Street)	(City)	(State)	(Zip)
Previous colleges (junior and four year):
Address	(Street)	(City)	(State)	(Zip)
SAT	Verbal: Math:		ACT:
Academic Awards:

Points Per Game (PPG):		Rebounds Per Game (RPG):
Assists Per Game (APG):