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Become a Fighting Muskie!

After completing this form, a representative from the Office of Admission and the Muskingum University coaching staff will be in contact with you.

Personal Information

Name:
Preferred Name:
Gender:
Male   Female
Address:
City:
   
Home Phone: -
Cell Phone: -
E-mail:
Social Security #:
Birthdate:
Height:
Weight:
Mother's Name:
Mother's Occupation:
Father's Name:
Father's Occupation:
Living With:
Mother   Father   Both   Other

Academic Information

High School:
Class of:
College Prep?
Yes   No
GPA:  on a 4.0 scale
SAT Combined:
ACT:

Applied to
Muskingum U:

Yes   No
Potential College
Major:
Potential College
Minor:

Athletic Information

Primary Sport:
Position Played:
H.S. Coach's Name:
H.S. Coach's E-mail:
H.S. Coach's Phone: -
Second Sport?
Key Statistics:
Honors Received
(Conference,
regional, state,
etc):
Interest Level:
Very Interested
Interested
Somewhat Interested
Thank you for taking the time to fill out this questionnaire. Please use the space below to provide us with any additional information of your choosing.

NCAA Div. III
Ohio Athletic Conference

Men's Varsity

Baseball
Basketball
Cross Country
Football
Golf
Lacrosse
Soccer
Tennis
Track & Field Indoor
Track & Field Outdoor
Wrestling

Women's Varsity

Basketball
Cross Country
Golf
Lacrosse
Soccer
Softball
Tennis
Track & Field Indoor
Track & Field Outdoor
Volleyball