Midland College Athletics

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Midland College
Athletic & Academic Questionnaire

Personal Information

First Name:      MI:      Last Name:
Home Address:  
City:            State:        Zip:
Birthday:           Age:             Height:         Weight:  
Email Address:        Cell Number:
Father's Name:          Mother's Name :
Coaches Name:        Phone Number: 
Grade Point Average :       Test Scores (ACT/SAT) : 
Academic Interest:  
Name of High School:
Year Graduating From High School:

Athletic Information

Position :       Uniform # : 
Team Record : Rebounding Average:
  Junior Yr. Senior Yr.   Junior Yr. Senior Yr.
Field Goals:  2pt. %  3pt.% Free Throws % Scoring Average (PPG)
Junior Yr:
Senior Yr:

What academic and basketball program characteristics are most important to you?



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