Intramural Sports Official/Scorekeeper

Personal Information

Full Name

Preferred/Nickname

Date of Birth

MSU ID

Local Address

Permanent Address

Cell Phone Number

MSState Email

Personal Email

Are you currently enrolled at MSU?

Major

GPA

University Classification

Anticipated Graduation Date

Are you currently employed on campus?

Have you been awarded College Work Study?

If yes, what amount?

Have you previously been employed by MSU?

Are you certified in Adult CPR with AED/First Aid?

If yes, please upload certification.

Choose file

One file only.
200 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.