Marion Military Institute, a World Class Leadership Program

           PERSONAL INFORMATION
       

Sport Interested In	Select Sport Baseball Men's Basketball Men's Soccer Women's Tennis Wrestling Softball
First Name
Last Name
Street Address
City
State/Province
Zip/Postal Code
Country (if not U.S.)
Home Phone
E-mail
Social Security No.
Date of Birth(mm/dd/yy)
Height	Weight
Position(s) Played
Father's name
Mother's name

           HIGH SCHOOL INFORMATION

Name of High School
Location
City
State/Province
Zip/Postal Code
Country (if not U.S.)
Name of HS Coach
Coach's Phone
Coach's FAX  Number
Coach's E-mail address
High School GPA
Date of HS Graduation
High School Ranking (x of x)
SAT Score
ACT Score

      

        OTHER INFORMATION

HS Statistics Senior Year
HS Awards Senior Year (academic and athletic)
Dominant Hand	Left   Right             Dominant Foot   Left   Right
Do you have a videotape/ (DVD) available?	Yes     No
Intended college major