Prospective Athlete Form

Prospective Athlete Form
Personal Information
Name*

First NameLast Name
Email*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth*
Parent Name*

First NameLast Name
Parent Phone*

Area CodePhone Number
Academic Information
High School Name*
High School Grad Year*
High School City and State*
High School GPA*
ACT Score
SAT Score
Have you attended another college/university?*

YesNo
List all colleges/universities that you have attended.
What Academic Program / Major are you interested in at Mid?*
www.midmich.edu/pathways for more infomation
Athletic Information
What sport are you interested in? *

Men's BasketballWomen's BasketballMen's BowlingWomen's BowlingBaseballSoftballMen's Cross CountryWomen's Cross CountryClay Target Shooting (co-ed)
What is your high game?*
What is your series average?*
What other sport(s) are you interested?

Men's BasketballWomen's BasketballMen's BowlingWomen's BowlingBaseballSoftballMen's Cross CountryWomen's Cross CountryClay Target Shooting (coed)
Primary Position*
Secondary Position*
Top Fastball Velocity*
Pop Time*
Batting Average*
Position(s) Played
Height*
Weight*
Points per game*
Rebounds per game*
Assists per game*
High School Coach Name*
High School Coach Contact Information (Phone or Email)*
Non-School or Travel Team
Non-School or Travel Team Coach Name
Non-School Coach Contact Information (Phone or Email)
List any honors, achievements, highlight reels or links that we should know about.
Are you interested in playing multiple sports at Mid?*
If you answered yes, please indicate what other sports you want to play. (Select all that apply)*

Men's BasketballWomen's BasketballMen's BowlingWomen's BowlingBaseballSoftballMen's Cross CountryWomen's Cross CountryClay Target Shooting (coed)
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Prospective Athlete Form

Personal Information

Academic Information

Athletic Information