Track/Cross Country Questionnaire

Track/Cross Country Recruit Form

Name:

Year of H.S. Graduation:

Parent or Guardian:

Address:

City, State, Zip:

E-mail Address:

Phone: ()

Best time to call (day/time):

High School:

High School Phone: ()

Coach's Name:

Coach's Phone: ()

Hometown Newspaper:

Track Information
Event	Best Two Performances	3rd Best or Typical
(Indicate Year if not most recent)
1.
2.
3.
4.
5.
(Please indicate with a "R" if any of the above is a relay split)

Usual Distance: Best Time:

2^nd Best: 3^rd/Typical:

If you ran at State:

Year: Place: Time:

H.S. GPA: ACT Score: SAT Score:

Rank in class (rank/class size): /

Possible College Major(s):
1.
2.

NAIA Eligibility: An athlete must meet two of the following three requirements to be eligible for intercollegiate competition: 1) Ranking in the top half of your class, 2) Minimum 2.0 GPA, 3) ACT score of at least 18 or SAT of at least 860

Other Colleges Being Considered:
1.
2.
3.
4.

Please list all sports you may do in college in order of preference or ability (include track & cross country):
1.
2.
3.
4.

Security Number
Please type the following number: *
The security number is required in order to prevent automated submissions.

Last modified 1/26/2007

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