Midland Lutheran Admissions - Athletic Questionaire

Athletic Questionnaire

Athletic Questionnaire - Personal Information -> Athletic Questionnaire - Athletic Background -> Athletic Questionnaire - Transfers Only

Sports Preference

1st Choice:

2nd Choice:

3rd Choice:

4th Choice:

Personal Information

First Name:

Middle Name:

Last Name:

Maiden Name:

Preferred First Name:

Mailing Address:

City:

County:

State:

Zip Code:

Home Phone:

Cell Phone:

Email:

Nonresident alien:
A person who is not a citizen or national of the United States and who is in this country on a visa or temporary basis and does not have the right to remain indefinitely.

Are you a Non-Resident Alien?

Additional Information

Intended area of study:

1st choice:

2nd choice:

Gender:

Male
Female

Date of Birth:

High School Name:

High School City:

High School State:

Year of Graduation:

ACT Score:

SAT Score:

Class Rank:

Out of:

Height:

Weight:

Sports you participated in during high school:

Injury History:

My current level of interest in MLC is:

Very Strong
Somewhat Strong
Uncertain