Press Release Questionnaire

Email Secondary Email

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THIS FORM IS FOR SIGNED STUDENT ATHLETES ONLY! If you would like more information on our programs and how to become a Pioneer, please visit the individual program pages.

Email address *

Sport you will be playing at MCC: *

Baseball Men's Basketball Rodeo Softball Volleyball Women's Basketball

Name (Last, First, Middle): *

Height: *

Hometown (City, State/Province/Country): *

Position: *

Name and Location of High School: *

Date of Graduation: *

Date of Birth:

Place of Birth:

List all high school academic honors: *

Including membership in clubs and societies

Parents names and hometowns: *

List hometown newspapers and television stations.

Please provide email addresses of the sports contacts.

Please list your high school letters received and how many: *

List all high school athletic honors: *

include the sport, year played, and position

List your senior season and/or career stats in the sport you will play at MCC. *

If you haven't played your senior season yet, please include your most recent statistics. Indicate the season from which the stats are listed.

List your high school coach's name in the sport you will play at MCC:

What is your planned major? *

List other teams you have played on: *

ex: Club, Legion, Junior National, Olympic Development, AAU, etc.

List team accomplishments of your high school teams, as well as the year: *

ex: state, region, division, district champions

Please write a few sentences about why you chose Miles Community College: *

* required field