"OCPA is striving to be the best in a world full of competition.

"

ORANGEBURG CALHOUN PREP

ACADEMY
APPLICATION
Please return with your unofficial transcript and $30 application fee to
Orangeburg Calhoun Prep Academy, C/O Orangeburg-Calhoun Technical College,
3250 ST. Matthews Road, Orangeburg, SC 29118
*You must send a $30 (Money Order) or your application will not be processed.

2012( ) 2013 ( ) 2014 ( )

Please check a sport: Football _____

Mens Basketball ______ Girls Basketball ______ Baseball_______ Track_______

Name: ______________________________________________________________
First

Middle

Last

Beginning Semester: Fall _____ Spring _____ Summer _____, 20____

Security Number: _____-_____-_____
Phone Number: ______-________
Date of Birth: __________________
Mo.

Day

Yr.

Place of Birth: ___________________

Address: _______________________ City ______________ State _______ Zip _______
County: _____________________
Email Address: _____________________________
Name of High School: ________________________ Address: __________________________
School Main Office Number: _____-________________

Guidance Counselor: ____________________________ Number: _____-________

Head Coach Name: ______________________________ Number: _____-________
Month/Year of Graduation: __________________________________
Expected Graduation Date:______________
Have you registered with NCAA Clearinghouse? Yes _____ No_____
Have you taken the ACT/SAT? Yes____ No _____
(a) If Yes: ____ACT _____SAT (b) Date Taken ________ Score________
Have you taken the COMPASS/ASSET? Yes____ No _____
(a) If Yes: ____COMPASS _____ASSET (b) Date Taken _____
(c) Math Score_____ Reading Score ______ Writing Score _______
GED: ____ Yes _____ No: If yes what is your Composite Score_________
Have you ever been arrested or convicted of a misdemeanor or felony? Yes _____ No ____
If yes, explain:
_____________________________________________________________________________
_
Emergency Contact Name: _________________________________
Emergency Contact Number: ______-_____________
Parent(s) Household Income: $_______________
Have you completed FAFSA? Yes ______ No______
How did you hear about Orangeburg Calhoun Prep Academy?
_____________________________________________________________________________
_
_____________________________________________________________________________
_
Any special awards or accomplishments?
_____________________________________________________________________________
_

_____________________________________________________________________________
_

I certify that the above information is true, accurate and complete:

Applicants Signature ________________________________ Date: __________

"OCPA is striving to be the best in a world full of competition."

ORANGEBURG CALHOUN PREP

ACADEMY
2012-13 Tuition
**OCPA Tuition

OC-Tech Tuition (12 Hrs Per

Semester)

*Deposit

$500.00 (Mandatory)

In County

$1,777.00

Final Payment

$2,500.00

Out of County

$2,197.00

Total

$3,000.00 (Due Aug 1)

Out of State

$3,109.00

If Mandatory athletic fee deposit of ($500) is not received by June 1, then you will not be
accepted into the program and your name will be removed from our program roster.

**

If your tuition is not paid in full by August 1, you will be removed from the program.

Program Includes

Uniforms, Equipment & Apparel

Players Marketing & Promotions

Travel Expense

Academic, Athletic, Social & Personal Development Class

Group/Individual Medical Insurance (Athletes 17-19)

Athletic Programs
Football

(National Club Football Association, Southern Collegiate Club Football)

Basketball

(Southern Preparatory Athletic Association)

Baseball

(National Club Baseball Association)

"OCPA is striving to be the best in a world full of competition."

ORANGEBURG CALHOUN PREP

ACADEMY
Information sheet
Name: ______________________________________________________________
First

Middle

Last

Address: _______________________ City ______________ State _______ Zip _______

Security Number: _____-_____-_____
Driver License Number _______________ State ______
Phone Number: ______-________
Date of Birth: __________________
Mo.

Day

Yr.

Email Address: _____________________________

Parent Email Address: _____________________________

Name of High School: ________________________

Emergency Contact Name: _________________________________
Emergency Contact Number: ______-_____________
Emergency Contact Name: _________________________________
Emergency Contact Number: ______-_____________
Shirt Size __________ Shorts Size _______ Shoe Size _______
Jersey Number 1) _____ 2) _____ 3) _____