Midland University Recruiting Questionnaire

Sport

Primary Activity

Baseball

Men's Basketball

Women's Basketball

Men's Bowling

Women's Bowling

Cheerleading

Cross Country

Dance

Men's Diving

Women's Diving

eSports

Women's Flag Football

Football

Men's Golf

Women's Golf

Men's Hockey

Women's Hockey

Men's Lacrosse

Women's Lacrosse

Powerlifting

Shotgun Sports

Men's Soccer

Women's Soccer

Softball

Men's Swimming

Women's Swimming

Men's Tennis

Women's Tennis

Track and Field

Volleyball

Men's Wrestling

Women's Wrestling

Sports Operations Manager

Fields marked with an asterisk (*) are required.

General Information

First Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Birthdate

Email Address

Cell Phone Number

Twitter

Twitter Handle

Instagram

Instagram Handle

Family Information

Parent/Guardian 1 Relationship

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Cell Number

Parent/Guardian 1 Email

Parent/Guardian 1 College Attended

Parent/Guardian 1 Occupation/Employer

Parent/Guardian 2 Relationship

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Cell Number

Parent/Guardian 2 Email

Parent/Guardian 2 College Attended

Parent/Guardian 2 Occupation/Employer

Academic Information

What type of student are you?

When do you plan to start classes?

What major are you interested in studying at Midland? *

High School

High school CEEB

Level of study

Graduation Year

GPA

Class Size/Rank

ACT/SAT Score

College Name:

College CEEB

Level of study

How many years of eligibility do you have left?

List all academic awards/honors:

Other college choices:

Below, upload a copy of your test score(s) and transcript(s), if available:

ACT or SAT Score

High School Transcript

College Transcript

Athletic Information

Height
(Format: x'x'')

Weight
(Format: x lbs)

Current School Coach's Name

Current School Coach's Cell Number

Current School Coach's Email

Current School Coach's Name

Current School Coach's Cell Number

Current School Coach's Email

Current Club Coach's Name

Current Club Coach's Cell Number

Current Club Coach's Email

AAU Team Name

AAU Coach's Name

AAU Coach's Cell Number

Position(s)

1 - Point Guard

1st

2 - Shooting Guard

2nd

3 - Small Forward

3rd

4 - Power Forward

5 - Center

ATH

Athlete

Attacker

Back Base

Base

BOLB

Catcher

Center

Cornerback

Defender

Defense

Defensive Specialist

Flyer

Forward

Full Back

Goalie

Goalkeeper

ILB

Left Defense

Left Wing

Linebacker

Mid

Middle Blocker

Midfielder

OLB

Outside Hitter

Pitcher

Quarterback

Right Defense

Right Side Hitter

Right Wing

Running Back

Rush

Safety

Secondary Base

Setter

Tight End

Wide Receiver

WILL

Track Events and Performances

Distance

Hurdles

Jumps

Sprints

Throws

Types of shooting that interest you (check all that apply):

American Skeet

American Trap

Bunker Trap

Doubles Skeet

Doubles Trap

International Skeet

Sporting Clays

Super Sporting Clays

Weight Class

Cross Country Events and Times:

How many years have you played?

Jersey Number

Scoring Average and Other Current Statistics

Where do you currently play?

List hockey statistics from the last 3 years:

All-Star Gym Name

All-Star Coach's Name

All-Star Coach's Phone

All-Star Coach's Email

List stunting experience (if any):

List tumbling experience (if any):

What styles of dance are you trained in?

Ballet

Contemporary

Hip Hop

Jazz

Kick

Pom

Tap

How long have you been training?

Were you a member of your high school dance team?

Yes

What dance studio do you attend?

How many years of competitive dance experience do you have?

Which opportunities are you interested in pursing at Midland?

Game Day

Competition

Premier Dance Co.

Recreational

Do you have any platform experience?

Yes

How did you hear about the Midland University Diving program?

Please Indicate Your Top Meet Scores (1 Required):

Name/Year of Meet

1 Meter Score

3 Meter Score

Name/Year of Meet

1 Meter Score

3 Meter Score

Name/Year of Meet

1 Meter Score

3 Meter Score

What is your favorite football team?

What is your favorite sports memory?

Battle.Net ID

Discord Username

Other Username (i.e., Epic Games, Origin, etc)

What titles do you play?

Overwatch

League of Legends

Valorant

Rainbow Six Seige

Rocket League

Other

What is your highest rank earned and your current rank in those titles?

Top 3 Champions/Heroes

Home Course Information

Name

Head Pro

Head Pro's Phone

Handicap

List your 5 best tournament performances (include event, course, score, and finish):

Please select one:

Men's Weight Class

Women's Weight Class

Men's Weight Class

Women's Weight Class

Do you compete raw or equipped?

Raw

Equipped

For the fields below, please only put the number (do not add lbs or kg) otherwise you will be prompted to fix it upon submitting your form.

Best Squat (in lbs)

Best Bench (in lbs)

Best Deadlift (in lbs)

Bat:

Left

Right

Switch

Throw:

Left

Right

How did you hear about the Midland University Swimming program?

Please indicate 2 (minimum) of your top times:

Swim/Dive Event

Event Type

SCY

SCM

LCM

Event Distance

Event Time

Year of Event

Swim/Dive Event

Event Type

SCY

SCM

LCM

Event Distance

Event Time

Year of Event

Swim/Dive Event (optional)

Event Type

SCY

SCM

LCM

Event Distance

Event Time

Year of Event

Swim/Dive Event (optional)

Event Type

SCY

SCM

LCM

Event Distance

Event Time

Year of Event

Swim/Dive Event (optional)

Event Type

SCY

SCM

LCM

Event Distance

Event Time

Year of Event

Sports You're Interested in Managing:

Baseball - Men's

Basketball - Men's

Basketball - Women's

Bowling - Men's

Bowling - Women's

Cheerleading

Cross Country

Diving - Men's

Diving - Women's

eSports

Flag Football - Women's

Football - Men's

Golf - Men's

Golf - Women's

Hockey - Men's

Hockey - Women's

Lacrosse - Men's

Lacrosse - Women's

Powerlifting

Shotgun Sports - Men's

Shotgun Sports - Women's

Soccer - Men's

Soccer - Women's

Softball - Women's

Swimming - Men's

Swimming - Women's

Tennis - Men's

Tennis - Women's

Track

Volleyball - Women's

Wrestling - Men's

Wrestling - Women's

Recruiting Website

Highlight Video

Other current statistics:

Other varsity sports played:

List all athletic awards/honors:

NAIA Eligibility Center - play.mynaia.org

What is the NAIA Eligibility Center?
The NAIA Eligibility Center is responsible for determining the NAIA eligibility of first-time student-athletes. Any student playing NAIA sports for the first time must meet the eligibility requirements. Students must have their eligibility determined by the NAIA Eligibility Center, and all NAIA schools are bound by the Center's decisions.

Who needs to register?
Every student interested in playing sports at NAIA colleges for the first time in 2020-21 or any year after that needs to register and have a determination if they are eligible to play.

If you have already registered at play.mynaia.org, please provide us with your NAIA ID. You can find your NAIA ID by logging into play.naia.org and looking in the red box in the upper right hand corner. Your NAIA ID should be 7 numbers long.

Your NAIA ID: