Athelte Profile Form
Email
Secondary Email
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Email address *
First name *
Last name *
Cell Phone Number *
Sport *
Season *
example, 2021-22
MTA Student ID# *
Height *
Weight
Medical Insurance
Type, Policy/Contract number
Birthdate *
MM-DD-YYYY
Current Faculty *
Academic Major *
Current Academic Year *
1st, 2nd, 3rd, 4th, 5th
Hometown
Home Street Address
Permanant Home Province
Permanant Home Postal Code
Hometown Phone
XXX-XXX-XXXX
High School or CEGEP *
Full Name
High School Team Played for
Please add sport and position
Coach's Name
Birth Place
Town/City, Province/State, Citizenship
Local Address *
If Residence please specify room number
MTA Email *
Parent's Names
Parent's Email
High School Graduation Year
Year of Entry to MTA *
Prior Year Average
Provincial/National Team
Please Add Sport and Position
Coach's Name
Club Team
Please Add Sport and Position
Coach's Name
Position played at MTA Last Year
Position to be played at MTA this year *
Hometown Newspaper
Past Awards/Achievements
Please be specific as these will be used in write-ups
Career Goals and Post-Graduate Plans
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* required field