Cross Country/Track & Field
Prospective Student-Athlete Interest Form
BACKGROUND INFORMATION
First Name:
Last Name:
E-mail:
Home Phone:
Street:
Town:
State:
Zip Code:
Age:
Gender:
Female
Male
Height:
ft
inches
Weight (lbs):
ACADEMIC INFORMATION
Present School (HS or college):
Present Grade:
HS Junior
HS Senior
Junior College
Transfer
Present GPA:
SAT Math:
SAT Verbal:
ACT:
Intended College Major:
College Choice #1:
College Choice #2:
College Choice #3:
CROSS COUNTRY/TRACK & FIELD INFORMATION
Type of Track Athlete:
Sprints
Jumps
Throws
Middle Distance
Distance
Multi-Events
Sprints/Jumps
Do you run XC?
YES
NO
Coach's Name:
Coach's Phone:
SPRINTS
JUMPS
THROWS
MID DIST
DISTANCE
XC
55m
Long Jump
Discus
600m
3000m
2.5 mi
60m
Triple Jump
Shot Put
800m
3200m
3.0 mi
100m
High Jump
Javelin
1000m
2000m st
5000m
200m
Pole Vault
Hammer Thw
1200m
3000m st
8000m
400m
Weight Thw
1500m
5000m
10000m
55m HH
1600m
10000m
100m HH
Mile
110m IH
300m IH
400m IH
Comments For Coaching Staff:
