Men's Cross Country/Track Questionnaire

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Email address *

First name

Last name

Address 1

Address 2

City

State

ZIP Code

Cell Phone Number

Height

Weight

Date of Birth

Father's Name

First

Last

Mother's Name

First

Last

Would you like to visit the campus?

Yes No

SCHOLASTIC INFORMATION

High School

School Phone

Graduation Year

GPA

ACT

SAT (Critical Reading and math combined only)

High School Class Rank

College Course of Interest

PREVIOUS COLLEGE INFORMATION

College Name

GPA

Hours Passed

How many years of eligibility do you have left?

SPORT SPECIFIC INFORMATION

Name of High School Coach

First

Last

Coach's Phone Number

Club Coach

First

Last

Club Coach's Phone Number

Name of JUCO Coach

First

Last

JUCO Coach's Phone Number

Cross Country/Track Events and Times and Distances

Athletic and or Academic Honors/Awards

Are meet tapes available?

Yes No

* required field