Mount Marty - Athletics - Prospective Men's Basketball Athletics

ATHLETICS
Athletic Training
Camps & Clinics
Hall of Fame
Lancer Club
Listen to Live Games
Photo Gallery
Prospective Athletes
Staff & Contact Us
Student Athletic Handbook
Watch Games Live

TEAMS
Baseball
Cross Country
Men's Basketball
Men's Soccer
Softball
Track & Field
Volleyball
Women's Basketball
Women's Soccer

Prospective Men's Basketball Athletes
Your First Name:	Last Name:
Street Address:
City:	State:	Zip:
Phone Number:	Cell Phone Number:	Email Address:
Parent/Guardian:	Birthdate:
SCHOOL INFORMATION
Coach:	Coach Phone Number:
School:	School Phone Number :
Street Address:
City:	State:	Zip:
SCHOOL INFORMATION
Cumulative GPA	ACT/SAT Score:	Date Taken:
Graduation Date:	Class Rank:	Number in Class:
Academic Interests:
Counselor:	Counselor Phone Number:
ATHLETICS
Other Sports: Baseball Cross Country Soccer Softball Track and Field Video/DVD available? Yes No	Position:	Height:
	Scoring Average:	Assist Average:
	Rebound Average:	3 Point Percentage:
	Other Statistics:
	Athletic Honors/Awards:
AAU/SELECT TEAM BASKETBALL
AAU/SelectTeam:	Teamwebsite:
Coaches Name:	Address:
City:	State:	Zip Code:
Home Phone:	Cell Phone:	Email Address:

List the two best seniors you will play this year.	Name:	School:
List the two best seniors you will play this year.	Name:	School:
ADMISSIONS
Have you applied for admission to Mount Marty College?
What other schools are you considering?
Have you filed for Federal Financial Aid (FAFSA)?
CONFIRM AND SUBMIT