Skip Main Navigation

Women's Soccer Prospective Player Questionnaire

The following questionnaire is for prospective OJC Women Soccer players. Please fill out all the information below.
NOTE: * denotes required field.

Personal Information

First Name:   *Required Field
Last Name:   *Required Field
Zip Code:
Phone (or Cell):
Email:   *Required Field
Date Of Birth:
Mother's Name:
Phone (or Cell):
Father's Name:
Phone (or Cell):
Parent's Email
Statistics & Player Information
40yd Dash Time:
High School:
High School Address:
Coach's Name:
Coach's Phone:
HS Coach's Email:
Club Team Name:
Club Coach's Name:
Club Coach's Phone:
Club Coach's Email:
Other Colleges Interested In:
Soccer Strengths:
Other Sports Played:
Any Hobbies or Interests:
Year of Graduation:
Class Rank:
SAT's: (Math)   (Verbal)
Desired College Major:

Thank you for your time. If you would like more information please contact me at the address below and list the names and addresses of any friends or teammates that would like information about OJC Women's Soccer. Call me if you have questions:

Kevin Hurtado
Women's Soccer Coach
Otero Junior College
1802 Colorado Ave.
La Junta, CO 81050
(719) 384-6956