First Name:

Last Name:

Gender:
Female Male

What sport(s) are you interested in playing at NMU?

Street Address:

City:

State/Province:
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip/Postal Code:

Phone Number:
- -

E-mail Address:

Date of Birth:
January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Parent/Guardian Name(s):

Sibling Name(s):

High School:

Address:

City:

State:
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

Phone Number:

Graduation Year:

G.P.A.:

SAT:

ACT:

Anticipated Enrollment Semester:
Currently Enrolled

Degree:*

Major:

*NCAA student-athletes need to be enrolled in a four-year program (baccalaureate) in order to play sports.

Are you transferring to NMU from another college?
Yes
No

Have you applied to the NCAA eligibility center?
Yes
No

Eligibility Center ID #: