Labette Community College
Cardinal Basketball Questionnaire
Head Coach: 
Adrian Jackson

200 South 14th Street  Parsons, KS 67357 (620) 820-1016

Are you interested in playing men's basketball for LCC? Please fill out the below questionnaire.
MAIL ALL TRANSCRIPTS DIRECTLY TO LCC ADMISSIONS OFFICE

Name:     
Street Address:
   Phone:
City: 
       State:                             Zip:       
Height:
 Weight: Birth date:
Parent or Guardian:   
Street Address:

City:        State:                             Zip:       
High School:   Graduation Year:
Position:
  High School Coach:   Office Phone:
Dominant Hand:     Vertical Jump :

Guidance Counselor:
  Office Phone:
Approx. GPA in High School: 
   Expected Major:
Email Address:
Video/Website URL:      Club Experience: