Introduction Section
WELCOME TO THE LONG BEACH STATE BASEBALL ONLINE QUESTIONNAIRE!
Personal Information
First Name:
Middle Name:
Last Name:
Country:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
FaceBook:
Instagram:
@
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
Parent 1's Occupation:
Parent 1's Email Address:
Parent 1's Cell Phone:
Parent 1's College:
Siblings (Names & Age):
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Parent 2's Occupation:
Parent 2's Email Address:
Parent 2's Cell Phone:
Parent 2's College:
Academic Information
{{item.text}} No schools matching "{{sd.searchText}}" were found.
School Name:
School City:
Counselor's First Name:
Counselor's Last Name:
Counselor's Phone:
GPA:
SAT Reading:
SAT Writing:
SAT Composite:
ACT Composite:
Intended Major:
Have you Joined the Eligibility Center?
Club Information
Club Name:
Club Address:
Club City:
Club State:
Club Zip:
Club Coach:
Club Coach Cell:
Club Coach Office:
Club Coach Home:
Club Coach Email:
Athletic Information
Height
Weight (in lbs.)
Jersey #
Positions
Baseball
Baseball
Other Questions
Top five schools you are interested in attending:
Dad's Home Number:
Mom's Home Number:
Sibling's Cell Phone Number:
High School League:
NCAA Qualifier?:
High School Coach's Name:
High School Coaches Cell Number:
Are you playing for a Scout League Team?:
If so, which one?:
Hobbies or special interests:
Preferred College Position:
Best Players in your Area(not yet graduated):
Would you like information on our Showcase camps:
Jr. College(Name, City, League, Grad Date):
Units Passed, Units in progress, Coach, Phone #:
If no, were you an NCAA predicator in High School?:
Are you completing an A.A. Degree this spring? :
List professional scouts familiar with your play:
Scout phone numbers:
Have you sent a transcript for evaluation? (Y/N):
Have you applied for financial aid? (Y/N):
Do you believe you will qualify for financial aid?:
Send your school, summer and Scout team Schedules:
When you have completed this questionnaire please click submit questionnaire.
School Name:
OR :
State:
City:


Club Name:
Team Name:
Coach Last Name:
State:
City:


Club Name:
Team Name:
Club State:
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile:

Do you still want to add the prospect?