Track & Field Recruitment Form

Email Secondary Email

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Personal Information

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Home Phone:

Cell Phone:

Date of Birth:

Birthplace:

Social Security Number:

Father's Name:

Father's Occupation:

Mother's Name:

Mother's Occupation:

High School Name:

County:

School Address: Street:

City:

State:

Zip:

School Phone:

Head Coach:

Office Phone:

Your Graduation Date:

GPA:

Class Rank:

SAT:

ACT:

Intended major in College:

Career Goals:

Have you registered with the NCAA Eligibility Center?

Yes No

Height:

Weight:

Events: Best Mark/Time/Year (top 4):

Cross Country: Distance/Time/Year (top 4):

Transcript Release: I give my consent for a copy of my transcript and available test score to be released to Ashland University.

Student Athlete:

Parent or Guardian:

* required field