Introduction Section
WELCOME TO THE AZUSA PACIFIC BASEBALL QUESTIONNAIRE

Thank you for returning your Cougar Baseball Recruiting questionnaire. If you are identified as a potential prospect in our program, we will contact you via email to begin the recruiting process. Please fill out as completely as possible. Any fields which you cannot fill out at this time please fill in with "N/A"

Best wishes,

Kirk Nieuwenhuis
Head Baseball Coach
Azusa Pacific University

Interested in attending a camp or clinic?: https://camps.jumpforward.com/apumbaseball
Questionnaire Code
(not required):
Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
Country:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
Twitter:
@
Instagram:
@
What is your connection to this university:
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
Parent 1's Address (If Different):
Parent 1's City:
Parent 1's State:
Parent 1's Occupation:
Parent 1's College:
Siblings (Names & Age):
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Parent 2's Address (If Different):
Parent 2's Occupation:
Parent 2's College:
Most Influential People in Your Life: (1)
Most Influential People in Your Life: (2)
Academic Information
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School Name:
School Address:
School City:
School State:
School Zip:
School Phone#:
Counselor's First Name:
Counselor's Last Name:
Counselor's Email:
GPA:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Club Information
Club Name:
Club City:
Club State:
Club Coach:
Club Coach Cell:
Athletic Information
Height
Weight (in lbs.)
Jersey #




Positions
Baseball
Baseball
Other Questions
Do you have any online video (provide links):
List any events you will be participating or attending:
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?