Prospective Athlete

Note: Required fields below marked with * must be completed in order to submit this form.

General Information

First Name: *
MI:
Last: *
Email Address: *
Home Phone: *
Cell Phone:
Age: *
High School:
City:
State:
High School Coach's Name:
Junior College:
City:
State:
Jr. College Coach's Name:

Academic Information

High School Graduation Date:   Class Rank: G.P.A.:
Jr. College Graduation Date: Hours Completed: G.P.A.:
SAT Scores: Reading: Math: Written:
ACT Comp Score:
Intended College Major:
Academic Accomplishments:
Certified by NCAA Clearinghouse? No Yes   Index Number:
Guidance Counselor's Name:   Phone:

Cross Country Information

Personal Best: 5K (xc)
  5K (road)
Best Track Times: 1600 (mile)
  3200 (2 mile)

Post-season Competition (State Championships, Footlocker, etc.)

Additional Information About Yourself (go ahead and brag a little!)