If you love your game and want to make it part of your college experience, there's a place for you on our team. Just complete this form and we'll get back to you with the information you need to decide if becoming a student athlete at Mount Mercy is the right call for you.

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail
URL

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High School Information

High School: 

High School City: 

Graduation Date:              Grade Point Average:              Class Rank: 

ACT score:              SAT score: 

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Anticipated Entrance Status

First-Year Student   Transfer Student

Transfer from 

Expected enrollment date:  Summer 2007 Fall 2007 Winter 2008 Spring 2008 Summer 2008 Fall 2008 Winter 2009 Spring 2009 Summer 2009 Fall 2009 Winter 2010 Spring 2010 Summer 2010 Fall 2010

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What sports are you interested in?

Men's Basketball	Women's Basketball
Baseball	Softball
Men's Golf	Women's Golf
Men's Soccer	Women's Soccer
Men's Cross Country	Women's Cross Country
Men's Track & Field	Women's Track & Field
	Women's Volleyball

 

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Please tell us about your athletic abilities (i.e. awards, honors, statistics, etc.)

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What academic areas are you interested in?

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What extracurricular activities are you involved in?

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Additional questions or comments:

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I would like to have a coach contact me:

Yes No

I would like to have an admission counselor contact me:

Yes No