Track & Field | Cross Country Questionnaire
Personal Information:
Full Name:
Last:
First:
Middle:
Sex:
Address:
Street:
City:
State:
Zip:
Home Phone:
Cell Phone:
E-mail:
Date of Birth:
Birthplace:
Father's Name:
Father's Address: (if different than above)
Street:
City:
State:
Zip:
Father's Occupation:
Mother's Name:
Mother's Address:
(if different than above)
Street:
City:
State:
Zip:
Mother's Occupation:
Academic Information
High School Name:
County:
School Address: Street:
City:
State:
Zip:
School Phone:
Head Coach:
Office Phone:
Guidance Counselor:
Your Graduation Date:
Overall GPA:
Class Rank:
SAT score (total):
SAT score (math):
ACT Score (Composite):
Intended major in College:
Have you registered with the NCAA Eligibility Center: yes
or no
Athletic Information
Height:
Weight:
Event:
Best mark/time:
Year:
Event:
Best mark/time:
Year:
Event:
Best mark/time:
Year:
Event:
Best mark/time:
Year:
Cross Country Distance:
Best time:
Year:
Do you plan on participating in any other sports in college? If so, please list sport(s).
Transcript Release: I give my consent for a copy of my transcript and avaialable test score to be released to Ashland University.
Student Athlete:
Parent or Guardian: