FIRST CONTACT FORM– FOOTBALL

In accordance with the rules and regulations established by the California Commission on Athletics (COA), a student wishing to participate in the San Joaquin Delta College Athletic program must establish “First Contact” with the department.

If you are interested in San Joaquin Delta College Football, please fill in your information below and click on the submit button. Your information will be e-mailed to the Football coaching staff.

First Contact Statement

Enter your full name in the text box to indicate the below statement is true.

*I, , hereby certify that I made the First Contact with San Joaquin Delta College and that I am requesting information from this college without prior contact by members of the staff or persons representing San Joaquin Delta College.

FIRST CONTACT FORM – FOOTBALL
Personal Information:
Today's Date: (dd/mm/yyyy)
First Name:
Last Name:
Address:
City:
State:	Select one... CA AK AL AR AZ CO CT DC DE FL GA HI IA IL IN KS KY LA MA MD ME MI MN MO MS MT NC MD NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VI VT WA WI WV WY
Zip Code:
Home Phone: (209-111-1111)
Cell/Mobile Phone: (209-111-1111)
E-Mail Address:
Parent/Guardian:
Address (if different):
Father's Name/Occupation :
Mother's Name/Occupation :
Education:
High School/Junior College:
Graduation Month/Year:
Coach:
Coach's Phone:
Athletics:
Primary Position:
Secondary Position:
Height:
Weight:
40 Yard Dash Speed:
GPA:
Score on ACT/SAT:
Proposed Major :
Statistics in sport:
List Recent Honors:
Hobbies and Interests:
Academic Goals:
Athletic Goals:
Comments/Questions:
In the event of an error message, please print this form and mail or fax the completed information to: Athletic Director San Joaquin Delta College 5151 Pacific Avenue Stockton, CA 95207 Athletic Fax: (209) 954-5696
Thank you for completing the form please click on the Submit button ONCE only.