Contact information
 
First name:   Last name:

Phone number:   E-mail:

Address:  
  

Academic information

Academic average:   Grade:

Graduation date (MM/YY):   

Academic interest at Mount Allison:

Have you applied to Mount Allison?

  

 

Athletic information

Sport(s) of interest:

Position:

Height (feet/inches):   Weight (pounds):

School, team, or club:

Coach:

Coach's phone number:

Coach's e-mail:

 

Please include any other relevant background or biographical information (including awards won, etc.) in the space provided.