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Jefferson Community College Website
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Student-Athlete Interest Form
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General Information
First Name
Preferred Name
Last Name
Pronouns
He
She
They
Other
Sex
Sex
Female
Male
X
Gender Identity
Male
Female
X
Transgender Male
Transgender Female
Gender Non-Conforming/Non-Binary
Not sure/Questioning
Other
Cell Phone Number
Email Address
Parent/Guardian Email (Optional)
Birthdate
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
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1908
1907
1906
1905
1904
1903
1902
1901
1900
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
What's your military affiliation?
Active Duty
Active Duty Dependent
Active Duty Spouse
Veteran
Veteran Dependent
Veteran Spouse
US Reserves / National Guard
None
Sport
Sport(s) of Interest
Sport(s) of Interest
Baseball (M)
Basketball (M/W)
Club Hockey
Esports
Golf (M/W)
Lacrosse (Men's Only)
Soccer (M/W)
Softball (W)
Volleyball (W)
I do not plan to participate in athletics
Position
Height
Weight
Honors/Awards in your sport
High School
High School Name
CEEB Code
HS Graduation Year
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
Coach's Name
Coach's Phone Number
JCC Information
When do you plan to start at JCC?
Spring 2025 (Jan-May 2025)
Spring 2026 (Jan-May 2026)
Spring 2027 (Jan-May 2027)
Spring 2028 (Jan-May2028)
Summer 2025 (June-Aug 2025)
Summer 2026 (June-Aug 2026)
Summer 2027 (June-Aug 2027)
Summer 2028 (June-Aug 2028)
Winter 2024 (Dec 2024-Jan 2025)
Winter 2025 (Dec 2025-Jan 2026)
Winter 2026 (Dec 2026-Jan 2027)
Winter 2027 (Dec 2027-Jan 2028)
Fall 2024 (Aug-Dec)
Fall 2025 (Aug-Dec)
Fall 2026 (Aug-Dec)
Fall 2027 (Aug-Dec)
Fall 2028 (Aug-Dec)
Intended Major
Undecided / Unsure
Accounting A.A.S.
Accounting Certificate
Addiction Studies A.A.S.
Applied Business Studies A.O.S.
BOCES - Applied Business Studies A.O.S.
Business Administration A.A.S.
Business Administration A.S.
Childhood Education A.A., Liberal Arts & Sciences
Childhood Education (Potsdam Birth to Grade 2)
Childhood Education (Potsdam Birth to Grade 6)
Computer Information Systems A.S.
Computer Information Technology A.A.S.
Computer Science A.S.
Creative Writing Concentration, Humanities & Social Sciences A.A., Liberal Arts & Sciences
Criminal Justice A.S.
Early Childhood A.A.S.
Early Childhood A.S.
Engineering Science A.S.
Health Care Management
Homeland Security A.S.
Hospitality & Tourism A.A.S.
Human Services A.S.
Humanities & Social Sciences A.A., Liberal Arts & Sciences
Individual Studies A.A.S.
Mathematics A.S.
Natural Sciences A.S. Liberal Arts & Sciences
Nursing A.A.S.
Paralegal A.A.S.
Physical Education A.S.
Psychology Concentration, Humanities & Social Sciences A.A., Liberal Arts & Sciences
Sports Management A.S.
Zoo Technology A.A.S.
Have you completed the Jefferson application?
Have you completed the Jefferson application?
Yes
No
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