Contact information First name: Last name:
Phone number: E-mail:
Academic average: Grade:
Graduation date (MM/YY):
Academic interest at Mount Allison:
Have you applied to Mount Allison?
Sport(s) of interest:
Height (feet/inches): Weight (pounds):
School, team, or club:
Coach's phone number:
Please include any other relevant background or biographical information (including awards won, etc.) in the space provided.