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Prospective Student-Athlete Form

If you are interested in competing in men's track and field and/or cross country for Michigan State University, please complete the following form and submit it to head coach Darroll Gatson and assistant coach Jim Stintzi. This form is NOT an official university application. Please be aware that this is not a secure form.


Prospective Student-Athletes
Please fill in this questionnaire

Please fill in as much information as possible.

PERSONAL INFORMATION:  

Name (First, M.I., Last)

Age

Date of Birth

Email

Ht.

Wt.

Street Address

City:

State

Zip Code

Phone #:

Year of Graduation

Overall GPA:

Core GPA::

Class Rank:

Guidance Counselor's Name:

Phone #:

Testing - SAT (Math/Verbal/Total):

ACT:

Registered with NCAA Clearinghouse (Yes/No):

PID#

High School Name

Coach's Name:

Street Address:

City:

State

Zip Code

Coach's Office Phone#

Coach's Home Phone#:

ATHLETIC EXPERIENCE:

Event      Time/Dist.:

Date                  Site:


Event      Time/Dist.:

Date                  Site:


Event      Time/Dist.:

Date                  Site: