Track & Field and Cross Country Questionaire

Personal Information


Name
Preferred First Name

Address

City
State
Zip

Email Address
Date of Birth

Home Phone
Cell Phone

High School
Graduation Date

Father's Name
Occupation
Mother's Name
Occupation


Academic Information


Cumulative GPA
Class Rank
# In Class

SAT Score (CR)
SAT Score (M)
SAT Score (WR)

ACT Score

Academic Honors

Planned College Major


Athletic Information


High School Coach's Name

Please provide your top performances in the events listed below that you have competed in:

100
200
400

800
1600
3200
XC(5 kilometer)

110 & 100 Hurdles
300 Hurdles

Long Jump
Triple Jump
High Jump
Pole Vault

Shot Put
Discus
Javelin
Hammer

Track & Field/Cross Country Honors/Awards

Other Sports in which you participate