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Email Head Coach: Mike Miller

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Recruiting Questionnaire

Personal Information
Student's Name: * Names of Parents/Guardians: *
Street Address: * Home Phone: * ( ) -
City: * Cell Phone: ( ) -
State: * Email Address: *
Zip: *    

Academic Information
High School: *
Graduation Year: *
Approx. GPA: *
SAT/ACT Score:
Level of Interest in Messiah College: 1  2  3  4  5
1 = Low;  5 = High
Major(s) Interested in: *
Other Colleges Considering:

Athletic Information
Number of Years Played: *
Level of Interest in Playing: * 1  2  3  4  5
1 = Low;  5 = High
Position Played: *
Awards/Honors:

Height: * ' "
Weight: *
Date of Birth: //
High School Head Coach: *
Coach's Phone Number: * ( )  -

Additional Information


* denotes required fields


  

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