MID MICHIGAN COMMUNITY COLLEGE LAKERS

Player Information Sheet

PERSONAL INFORMATION

Full Name

First Name Last Name

E-mail

Phone Number

- Area Code Phone Number

Address

Date of Birth

Parent Name

First Name Last Name

Parent Phone

- Area Code Phone Number

ACADEMIC INFORMATION

High School Name

High School Grad Year

High School City

High School GPA

ACT Score

SAT Score

Have you attended another college/university?

Yes No

List all colleges/universities that you have attended.

What Academic Program / Major are you interested in at MMCC?

ATHLETIC INFORMATION

Sports (mark all that apply)

Men's Basketball Women's Basketball Men's Bowling Women's Bowling Men's Cross Country Women's Cross Country Club Hockey (Co-Ed) Baseball Softball

Position(s) Played

Height

Weight

High School Coach Name

High School Coach Contact Information

Non-School / Travel / AAU Team

Other Coach Name

Other Coach Contact Information

Any other information / highlight reels / links that we should know about?