Men's Cross Country Questionnaire

Men's Cross Country Questionnaire

I     PERSONAL

Graduation Year

First Name    Last Name    Middle Initial

Street Address    Apt. Number

City    State    Zip Code

Home Phone Number    Cell Phone Number

E-mail Address

Date of Birth    Social Security Number

Religion

Mother/Guardian Name    Occupation

Father/Guardian Name    Occupation

II     ACADEMIC

High School    City    State

GPA    Class Rank/Total Students    ACT

SAT-Writing    SAT-Math    SAT-Critical Reading

Guidance Counselor    Phone Number

Potential College Major 1)    2)

Other Colleges Interested in 1)    2)

Have you registered with the NCAA Clearinghouse? (Yes or No)

If Yes, what is your NCAA Clearinghouse ID Number?

Academic Honors

III     ATHLETIC

Height    Weight

Best Times (Include Course Mileage)

High School Coach    Phone Number

High School Uniform Number    High School Position(s)

Number of Years on Varsity

Travel Team Name

Travel Team Coach    Phone Number

Travel Uniform Number    Travel Team Position(s)

Number of Years on Travel Team

Other Sports

Athletic Honors