Thank you for your time in providing information for this form. This form will provide valuable information to the public information office and the sports information director at Northeast Mississippi Community College. It will be used to supply information to hometown newspapers in press releases; in pitching feature stories; in media guides; and on the NEMCC web site. The more we know about you, the better we can promote the college and its student-athletes.
NOTE: All form boxes that are outlined in red are REQUIRED fields and the form cannot be submitted without filling out those forms.
Please remember to confirm your form once you hit the submit key, hitting the submit key only saves your answers until you confirm your form. If successful, you should receive a confirmation page of the form being submitted.