Mesa Community College


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Recruiting

Men's Basketball Recruiting Form

Prospective Student-Athletes are invited to complete and submit the form below to indicate their possible interest in attending Mesa Community College. This is not an official application for admission and does not involve a commitment by either party. It will be used by the coach of the appropriate sport for contact purposes only.

To contact Alton Lister, the Men's Basketball coach:

 
Last Name
(Legal Name) *
Nickname:
Street Address 1 *
Street Address 2
City *
State
  (Only United States residence should select a state above. International prospects, select your country below and enter your province, state, or territory in the space provided.)
Country
Province
Postal (Zip) Code
US Home Phone 
International Phone
Cell Phone
  (Please include any area, country, or international telephone codes and prefixes)
Email Address
Date of Birth (mm/dd/yyyy) *
/ /
Gender * Male Female
Height (feet) (inches)
Weight (pounds)
 

Parental and Family Information:
Mother's Legal Name
Mother's Daytime Phone
Father's Legal Name
Father's Daytime Phone
Parents' Marital Status
I live with
Number of Siblings
Ages of all Siblings
Sibling College and Graduation Year (or Expected Graduation)
 
 
 
Names and Graduation Years of Mesa Community College Alumni you know
 
 
 
 

High School Information:
Date of High School Graduation *
/ /
High School E.T.S. Code
  *This is the code used to identify your high school on the S.A.T., S.A.T. II, Advanced Placement, and A.C.T. examinations. Please enter it only if you are certain you know it.
High School Name
High School Mailing Address
High School City
High School State (US Only)
High School Province
High School Country
High School Postal (Zip) Code
High School Phone
High School Principal
High School Guidance Counselor
G.P.A. Out of
Class Rank Out of
Best S.A.T. I Verbal
Best S.A.T. I Math
Any S.A.T. II Subject Tests taken and your scores on each
 
 
 
A.C.T. Composite Score
 
Extra Curricular Activities
Possible Collegiate Majors
 
 
 
Are you Applying to Mesa Community College? Yes No Unsure
Have you visited the Mesa Community College Campus? Yes No
Are you interested in early decision? Yes No Unsure
Other schools you are looking at or have applied to:
 
 
 

Basketball Specific Data:
Positions Played
Awards / Honors
HS Coach's Name
HS Coach's Phone (H)
HS Coach's Phone (O)
HS Coach's Alma Mater
PPG (points per game)
Rebs (Rebounds Per Game)
APG (Assists Per Game)
Vertical Leap
Statistics:
 
Do You Plan on Participating in Another Sport in College? Yes No
If Yes, What Sport?
   By checking this, I verify that all information is correct to the best of my knowledge
 
    
1833 West Southern, Mesa, AZ 85202 | Ph. 480 461 7000
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