*Last Name:

*First Name:

*Home Address:

*City:

*State:

Wisconsin Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ------------------------------------- U.S. Military - America (AA) U.S. Military - Overseas Europe (AE) U.S. Military - Overseas Pacific (AP) ------------------------------------- ALBERTA BRITISH COLUMBIA MANITOBA NEW BRUNSWICK NEWFOUNDLAND NOVA SCOTIA NORTHWEST TERRITORY ONTARIO PRINCE EDWARD ISLAND QUEBEC SASKATCHEWAN YUKON TERRITORY

*Zip:

*Home Phone #:

( ) -

*Email:

Parent's Names:

Height:

Feet Inches

Weight:

Age:

Gender:

Male Female

*High School:

H.S. Graduation Date:

2012 2011 --------- 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 --------- 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 --------- 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980

H.S. City:

H.S. State

Wisconsin Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ------------------------------------- U.S. Military - America (AA) U.S. Military - Overseas Europe (AE) U.S. Military - Overseas Pacific (AP) ------------------------------------- ALBERTA BRITISH COLUMBIA MANITOBA NEW BRUNSWICK NEWFOUNDLAND NOVA SCOTIA NORTHWEST TERRITORY ONTARIO PRINCE EDWARD ISLAND QUEBEC SASKATCHEWAN YUKON TERRITORY

Have you attended any other college?

Yes No

If so, where?

Anticipated Academic Program at MATC:

Semester Entering MATC:

Fall Spring

Year Entering MATC:

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Varsity Sport(s) played in High School:

Baseball

Basketball

Cross Country

Football

Golf

Soccer

Softball

Tennis

Volleyball

Wrestling

*Select the MATC sport(s) you are interested in playing:

Baseball

Women's Basketball

Men's Basketball

Golf

Women's Volleyball

Women's Soccer

Men's Soccer