Prospective Athlete Form

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Full Name: *

Email address *

Date of Birth *

High School: *

Date of High School Graduation: *

Sport You Are Interested In Playing: *

(if swimming and diving, fill out areas at bottom of form)

Position Or Event You Participate In: *

Height *

Coach's Name:

Coach's Phone Number:

Coach's E-Mail:

How Did You Find Out About MCC?

Street Address:

City:

State:

Zip Code:

Phone Number: *

(With Area Code)

Area Of Study You Are Interested In:

Athletic and Academic Honors You Have Received:

Can You Commute To MCC?

Yes No

Do You Need Assistance In Obtaining Housing?

Yes No

Swim Club

(Swimmers only)

Best Times

(Swimmers Only)

How Long Have You Been Swimming?

(Swimmers Only)

* required field