Prospective Athlete Form

Prospective Athlete Form
Personal Information
Full Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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 and State *
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 Mid? *
www.midmich.edu/pathways for more infomation
Athletic Information
What sport are you interested in? *

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
What is your high game? *
What is your series average? *
What sport are you interested?

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
What is your top 5K time? *
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 *
Primary Hockey Position *
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 Basketball Women's Basketball Men's Bowling Women's Bowling Men's Cross Country Women's Cross Country Club Hockey (Co-Ed) Baseball Softball
Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier, you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact admissions@midmich.edu
Should be Empty:

Prospective Athlete Form

Personal Information

Academic Information

Athletic Information