Duke Blue Devils XC/Track & Field

Student-Athlete Interest Form
Duke Blue Devils XC/Track & Field

BACKGROUND INFORMATION

First Name:
Last Name:
E-mail:
Home Phone:
Street:
Town:
State:
Zip Code:
Country:
Date of Birth (mm/dd/year):
Gender:
Ethnicity:
Social Security Number (optional):
Height:	ft inches
Weight (lbs):
Parent Names:
Parent Job/Alma Mater:

ACADEMIC INFORMATION

Present School (HS or college):
Present Grade:
Present GPA (include scale):
Class Rank (include class size):
SAT Math:	SAT Critical Reading:
SAT Writing:
SAT Subject Test #1:	Score:
SAT Subject Test #2:	Score:
SAT Subject Test #3:	Score:
ACT:
ACT Math:
ACT English:
ACT Reading:
ACT Science:
Intended College Major:
College Choice #1:
College Choice #2:
College Choice #3:
You will apply to Duke as a:

CROSS COUNTRY/TRACK & FIELD INFORMATION

Type of Track Athlete:

Do you run XC?

YES NO

Coach's Name:

Coach's Phone:

Coach's Email:

List Other Sports You Play: