Meridian Community College
910 Highway 19 N,
Meridian, MS 39307
601-483-8241
1-800-MCC-THE-1

RECRUIT QUESTIONNAIRE

 
First Name:
Last Name:
  
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Home Phone:

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Date of Birth:
High School:
College (if applicable):
  
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
High School Phone:

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Current Grade:
ACT:
SAT:
GPA:
Graduation Date:

MM
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DD
/
YYYY
Email: *
Intended Major:
Height:
Weight:
Event 1:
Mark/Time 1:
Event 2:
Mark/Time 2:
Coaches Name:
Coaches Phone:

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Interested in:
 Cross Country 
 Indoor Track 
 Outdoor Track