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Prospective Student-Athlete Form

If you are interested in competing in women's track and field and/or cross country for Michigan State University, please complete the following form and submit it to director of Track & Field/Cross Country Walt Drenth. This form is NOT an official university application. Please be aware that this is not a secure form.


Prospective Student-Athletes
Please fill in this questionnaire

Please fill in as much information as possible.

PERSONAL INFORMATION:  

Name (First, M.I., Last)

Age

Date of Birth

Email

Ht.

Wt.

Street Address

City:

State

Zip Code

Phone #:

Year of Graduation

Overall GPA:

Core GPA::

Class Rank:

Guidance Counselor's Name:

Phone #:

Testing - SAT (Math/Verbal/Total):

ACT:

Registered with NCAA Clearinghouse (Yes/No):

PID#

High School Name

Coach's Name:

Street Address:

City:

State

Zip Code

Coach's Office Phone#

Coach's Home Phone#:

ATHLETIC EXPERIENCE:

Event      Time/Dist.:

Date                  Site:


Event      Time/Dist.:

Date                  Site:


Event      Time/Dist.:

Date                  Site: