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Prospective Student-Athlete Questionnaire

Thank you for your interest in Wilbraham & Monson Academy's Athletic Program. Please take some time to complete this questionnaire. When completed, this questionnaire will be sent to our Admission Office who will forward it to the coach(es) of your sport-interest and he or she will respond to you as soon as possible.

This information is confidential and will not be used in any other format. This is not a formal application to Wilbraham & Monson Academy. It is used solely to give our coaches some basic information about you.
First Name *
     
Last Name
     
Sex*
   
Male
Female
Application for admission to grade *
   
9
10
11
12
PG
For the academic year*
   
2009-2010
2010-2011
Date of Birth - mm/dd/yyyy*
     
Home Address:
Street*
     
Apt. No., Box. No., etc...
     
City, State, Zipcode*
     
Telephone Number*
     
E-Mail*
     
Height*
     
Weight*
     
Current School:
Name*
     
Address*
     
Telephone Number*
     
Current school is*
   
Parochial
Public
Private
Years Attended*
     
Current grade*
     
How did you learn about Wilbraham & Monson Academy?*
       
Please list your sports in order of priority:
Sport 1
     
Positions(s)
     
Coach's Name
     
Coach's Phone Number
     
Achievements & Statistics
     
Club/AAU/Select Teams
     
Coach's Name
     
Coach's Phone Number
     
Sport 2
     
Positions(s)
     
Coach's Name
     
Coach's Phone Number
     
Achievements & Statistics
     
Club/AAU/Select Teams
     
Coach's Name
     
Coach's Phone Number
     
Sport 3
     
Positions(s)
     
Coach's Name
     
Coach's Phone Number
     
Achievements & Statistics
     
Club/AAU/Select Teams*
     
Coach's Name
     
Coach's Phone Number*
     
Other Sports Played*
       
Additional References
       
For Questions please contact:

Chris Sparks
Admission Associate
athletics@WMAnet.org
Wilbraham & Monson Academy
423 Main Street
Wilbraham, MA 01095
413-596-6811

Please Note: Questions marked with an asterisk (*) are required.


 Recent Results

Monday, 09/06/2010
Soccer - Girls Varsity
   Cathedral High School

© 2010 Wilbraham & Monson Academy    423 Main Street, Wilbraham, MA 01095  |  413.596.6811  |  800.616.3659 |  413.599.1749 fax
A Coeducational Boarding and Day School for Grades Six Through Postgraduate
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