Recruit Me

Email Secondary Email

There are errors with your form submission. Please review and submit again

For more information, contact Head Coach Doug North at north@swcciowa.edu.

Contact Information

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number

Date of Birth

Date Picker

Parent 1 Information

Name of Parent/Guardian 1

Parent/Guardian 1 Occupation

Parent/Guardian 1 Email

Parent/Guardian 1 Phone Number

Parent 2 Information

Name of Parent/Guardian 2

Parent/Guardian 2 Occupation

Parent/Guardian 2 Email

Parent/Guardian 2 Phone Number

Education

High School Name

High School Graduation Year

High School GPA

Major/Program of Interest

Do you plan to transfer to a four-year college or university? *

Yes No

Other colleges interested in

Athletic Info

Handicap

Average score for 9 holes

Average score for 18 holes

High School Coach Name

High School Coach Phone

Home Course

Career stats, honors, or awards

I agree that by submitting this form to Southwestern Community College, I give consent to Southwestern to store and use personal and academic-related information for all recruitment and academic records-related activities. I also agree to allow Southwestern to use multiple forms of communication for the purpose of recruitment and academic-related information during my academic career.

* required field