MTA Football Online Prospect Form


Name*:
Street Address*:
City/Town: *
Province/State*:
Postal/Zip Code: *
Country*:
Phone:* (506)-555-5555 [Please include the area code]
Cell Phone: (506)-555-5555
E-mail: *
Date of Birth

Mother - Name:
Phone: (506)-555-5555
Occupation:
University Attended:
Father - Name:
Phone: (506)-555-5555
Occupation
University Attended:
Living With:

School:
Address:	City:
Province/State:	Other:
Other Universities of Interest:
Grade Avg.: 11 12 CEGEP	Graduation Date
Academic Field of Interest:
Career Expectations:
Mount Allison University People you Know (Faculty/Alumni/Students)
Have you applied to the Mount Allison University yet?

Position(s): Offense Defense Preferred Position: Special Teams:
Height:[in feet-inches] Weight:[in pounds]
Jersey #:
Speed (40 yards) Vertical Jump (inches)
Max Weight Used 10 Reps Bench Squat
Number of Years you have lifted weights?
Coach:
Coach's Phone (Home): (506)-555-5555 (Work)
University Your Coach Attended:
Game Video Tape available?
Other Sports Played:

Comments:[Background/Biography/Awards Won...]