Date of Birth:  
High School:  
Date of High School Graduation:  
Sport you are interested in playing:
(if swimming and diving, fill out section at bottom of form)
Position or Event you participate in:  
Coach's Name:  
Coach's phone number:  
How did you find out about MCC:  
Street Address:  
Zip Code:  
Phone number (with area code):  
E-mail address:  
Area of study you are interested in:  
Athletic and academic honors received:  
Can you commute to MCC? Yes  No
Do you need assistance in obtaining housing? Yes  No
Swim Team (swimmers only):  
Best Times (swimmers only):  
How long have you been swimming (swimmers only):