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Cross Country Recruit Questionnaire

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General

First Name

Last Name

Preferred Name

Cell Phone Number

Email Address

Mailing Address

Mailing Address

Country

Street

City

Region

Postal Code

Birthdate

Birthdate

Background

Parent/Guardian 1 Type

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Email Address

Parent/Guardian 1 Occupation

Parent/Guardian 2 Type

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email Address

Parent/Guardian 2 Occupation

Academic

High School Name

CEEB

School Phone Number

Graduation Year

Class Rank

GPA

SAT Date

SAT Date

SAT Math

SAT Critical Reading

SAT Writing

ACT Date

ACT Date

ACT

Academic Honors

Other College Choices

Intended College Entry Term

Student Type

Intended Major

Have you been to campus before?

Have you been to campus before?

Yes

No

Would you like to visit campus?

Would you like to visit campus?

Yes

No

If so, when?

Athletics

5K PR

Dates of Competition

Location of Competition

Coach First Name

Coach Last Name

Coach Phone Number

Coach Email