Player’s Name

HT.

WT.

Position

Coach’s Name, Address  and Phone

High School

Team Record

Conference

Any Injuries?

Home Address

Social Security#

City, State, Zip

Email Address

Home Phone

Do you qualify for Financial Aid?

Father’s Name

Mother’s Name

Hobbies and Interests

Occupation

Occupation

Other schools which are recruiting you?

G.P.A.

S.A.T. or A.C.T. scores

Principal of H.S.

Graduation Date

Rank In Class

Guidance Counselor

Are you interested in MPC?

What would be your major?

Academic Honors

Would you like to visit MPC?

Other High School Sports

Will you apply to MPC?

Athletic Honors

Name

HT.

WT.

High School

City, State