Prospective Athlete Form

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?
Should be Empty:

MID MICHIGAN COLLEGE LAKERS