Mount Union Football Online Recruiting Form

Thanks for your interest in football at the University of Mount Union.  Please take a moment to fill out this form with as much information as possible.

* required field

Personal Information:

* Name: 

* Street Address: 

* City, State, Zip: 

Date of Birth:

* E-mail Address: 

* Cell Phone:

Home Phone:

Parents' Information:

Mother's Name:

Mother's Job:

Mother's Phone:

Mother's E-mail:

Father's Name:

Father's Job:

Father's Phone:

Father's E-mail:

Academic Information:

* High School: 

High School City:

High School Phone:

* Expected Graduation Date:
2012 2013

* GPA: 

ACT/SAT:

Class Rank:

Expected Major at Mount Union:

Athletic Information:

* Head Coach: 

Head Coach Phone:

Head Coach E-mail:

* Jersey Number: 

* Height (Please list height as x-x for example 6-0): 

* Weight: 

Offensive Position:

Defensive Position:

Special Teams Position:

Link for Highlight Videos (if available):