Thank you for your time in providing information for this form. Please note, this form does NOT serve as an application for the college. This form is to provide Northeast Mississippi Community College coaches with the necessary information about yourself. For an application to the college, please visit the NEMCC Homepage at http://www.nemcc.edu

NOTE: All form boxes that are outlined in red are REQUIRED fields and the form cannot be submitted without filling out those forms. 
 

Please remember to confirm your form once you hit the submit key, hitting the submit key only saves your answers until you confirm your form. If successful, you should receive a confirmation page of the form being submitted.



PERSONAL INFORMATION      
       
Name Birth Date (mm/dd/yy)
Height Weight
Address Home Phone
City Cell Phone
State Email
Zip Code

       
GUARDIAN INFORMATION      
       
Mother or Legal Guardian Father or Legal Guardian
Occupation Occupation
Address Address
City City
State State
Zip Code Zip Code
Home Phone Home Phone
Cell Phone Cell Phone
Email Email
       
HIGH SCHOOL INFORMATION      
       
School  Graduation Date
Address Grade Point Average (GPA) 
City  ACT/SAT Score
State  Class Rank 
Zip Code Honors 
Phone  Clubs 
       
HIGH SCHOOL ATHLETIC INFORMATION       
       
Coach Other Sports(s) Played
Phone  Awards (List all sports) 
Email Achievements (List all sports) 
       
Position (List all played)  Pitcher  2nd Base  Right Field
   Catcher  3rd Base  Left Field
   1st Base  Short Stop  Center Field
       
NON-PITCHING STATS      
       
Games Played RBI
At Bats Runs
Hits  Stolen Bases
2B Batting Average 
3B  Slugging Percentage
HR On-Base Percentage
Walks Field Percentage
Home to Home Time Home to First Time
Pop Time (catchers only)  Video Available?
       
PITCHING STATS      
       
Innings Pitched ERA
Strikeouts Opp. Batting Average
Walks Types of Pitches
Runs Speed of Pitches
Earned Runs  Video Available?
       
TRAVEL TEAM INFORMATION      
       
Coach Team Name
Phone Awards
Email Achievements
       
Position (List all played)  Pitcher  2nd Base  Right Field
   Catcher  3rd Base  Left Field
   1st Base  Short Stop  Center Field
       
NON-PITCHING STATS      
       
Games Played RBI
At Bats Runs
Hits Stolen Bases
2B Batting Average
3B Slugging Percentage
HR On-Base Percentage
Walks Fielding Percentage
Home to Home Time Home to First Time
Pop Time (catchers only) Video Available?
       
PITCHING STATS      
       
Innings Pitched ERA
Strikeouts Opp. Batting Average
Walks Types of Pitches
Runs Speeds of Pitches
Earned Runs Video Available?
       
TRANSFER STUDENTS      
       
College Year in College
Address Grade Point Average (GPA)
City Major
State Reason(s) for Transfer
Zip Code Sport(s) Played
       
COLLEGE BASEBALL STATS      
       
Position (List all played)  Pitcher  2nd Base  Right Field
   Catcher  3rd Base  Left Field
   1st Base  Short Stop  Center Field
       
NON-PITCHING STATS      
       
Games Played RBI
At Bats Runs
Hits Stolen Bases
2B Batting Average
3B Slugging Percentage
HR On-Base Percentage
Walks Fielding Percentage
Home to Home Time Home to First Time
Pop Time (catchers only) Video Available?
       
PITCHING STATS      
       
Innings Pitched ERA
Strikeouts Opp. Batting Average
Walks Types of Pitches
Runs Speeds of Pitches
Earned Runs