Recruitment Form

Fill out the form below if you'd like to receive more information about Comets Athletics.
A coach or recruiter will be in touch very soon. Thanks!
( "*" indicates a required field)

Please fill out the information below as completely as possible.

Personal Information:

*Last Name:    *First:    Middle: 

*Current Address:    *City:    *State:    *Zip: 

*Current Phone (701-555-5555):    Cell Phone:    Fax No.: 

Email Address:    Other Email:    *Birthday (12/12/1985): 

Home Address (if different):    City:    State:    Zip: 

Home Phone (701-555-5555): 

Father's Last Name:    First Name:    Marital Status: 
Father's Occupation:    College:    Email: 

Mother's Last Name:    First Name:    Marital Status: 
Mother's Occupation:    College:    Email: 

Please list any Mayville State students you know:


Please list any Mayville State alumni you know:


Please list any friends or relatives you know in the Mayville area:


What is your level of interest in Mayville State?  

What other colleges are you considering?


Academic Information:

Degree Program you are interested in:  (hold down "CTRL" key and click to select more than one)


High/Prep School: 
Address:    City:    State:    Zip: 
Guidance Counselor:    Phone:    Fax: 
Graduation Date:    SAT Score:    ACT Score:    Grade Point Avg.: 
Class Rank:    Class Size: 
Years Studied: English  Social Science  Math  Science

College:    City:    State:    Zip: 
Graduation Date:    Phone:    Fax: 
Your college address:    Your college phone: 

List all other colleges, universities, and schools (beyond high school) attended, whether or not credit was earned.
2. School:   City:   State:  
  Date Started:   Date Ended:   Degree Earned:  

3. School:   City:   State:  
  Date Started:   Date Ended:   Degree Earned:  

4. School:   City:   State:  
  Date Started:   Date Ended:   Degree Earned:  

5. School:   City:   State:  
  Date Started:   Date Ended:   Degree Earned:  

Athletic Information:

Head Coach's Last Name:    First Name: 
Coach's Email:    Fax No.:    School Phone: 
Coach's Home Address:    City:    State:    Zip: 
College Coach Attended:    Home Phone: 

Height:   Weight:

Other Sports Played in High School:
Sport 1:   Yrs. Played:     Sport 2:   Yrs. Played:
Sport 3:   Yrs. Played:     Sport 4:   Yrs. Played:

Other Sports Played in College:
Sport 1:   Yrs. Played:     Sport 2:   Yrs. Played:
Sport 3:   Yrs. Played:     Sport 4:   Yrs. Played:

Team Records:


Academic Honors:


Athletic Honors:


Speed: 40 yds.  100 m.

Vertical Jump:   Bench Press:   Squat

Offense Position:   Defense Position:   Specialties: