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?
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?
What is your high game?
What is your series average?
What other sport(s) are you interested?
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)
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In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.
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Prospective Athlete Form

Personal Information

Academic Information

Athletic Information