Personal Information

High School Information

Sports Interests

Please take a few minutes to complete the form below. The information you provide will be referred to the appropriate coaching staff, enabling the coaching staff to respond to you. Contact Therese Jennings if you have difficulty completing this form online.

I hereby certify that I made first contact with Santa Rosa Junior College and that I am requesting information from this college without prior contact by members of the staff or persons representing the college.

Yes (Required field)

NOTE: * = Required Field

Contact Information

Date of Birth:

Gender: Male or Female

Graduation Date:
High School Name:
High School Address:

* First Name:

*Last Name:

*Telephone:

Baseball	Men's Basketball	Women's Basketball	Men's Cross Country
Women's Cross Country	Football	Men's Golf	Men's Soccer
Women's Soccer	Softball	Men's Swimming	Women's Swimming
Men's Tennis	Women's Tennis	Men's Track and Field	Women's Track and Field
Volleyball	Men's Water Polo	Women's Water Polo	Wrestling

Comments?

In the event of an error message, please print this form and mail or fax the completed information to:

Athletic Director
Santa Rosa Junior College
1501 Mendocino Avenue
Santa Rosa, CA 95401-4395

Athletic Director
Santa Rosa Junior College
(707) 524-1752

If you have further questions, please email Therese Jennings at: tjennings@santarosa.edu or contact the Physical Education, Dance & Athletics office at 707-527-4237.

Thank you.

Questions or comments about the Athletics Department section of the CWIS may be sent to:
athletics@santarosa.edu