Athlete Contact Form

All student athletes who are from outside the recruitment area shall complete this form.

Full NameHome Phone NumberCell Phone Number
Birth DateTodays Date
Your current addressCityState
ZipEmail
Height Weight Gender
Female    Male
High SchoolDate of Last Attendance Have you applied for financial aid?
yes    no
High School addressCityStateZip
List your sport(s)List the community college (s) you would normally attend
I hereby certify that I made the first contact with Butte College and that I have chosen this college without prior contact by members of the staff or persons representing the college.

 


CCCAA

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