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Cross Country & Track and Field Recruiting Form


Personal Information		  
First Name
Last Name
Middle Inital
Graduation Year
Address
City
State
Zip Code
Home Phone
Cell Phone
Date of Birth
Email Address
Father's Name
Occupation
Mother's Name
Occupation
Brothers and Sisters (Names and Ages)
Academic Information
  
High School
Address
City
State
Zip
School Phone
Guidance Counselor
Potential College Major
Potential Career Goal
Junior Year Core Courses
Senior Year Core Courses
GPA
Class Rank (xx/xx)
SAT Math
SAT CR
SAT Writing
SAT Total
ACT
Cross Country and Track Information  
High School Cross Country Coach
Coach Phone Number
Coach Email
High School Track & Field Coach 
Coach Phone Number
Coach Email
Cross Country  
Meet Location  
Best Time
Meet Location  
Best Time
Track & Field  
 Event  
Best Time
Event  
Best Time 
 Event  
Best Time
Jumpers/Throwers  
 Event  
Best Distance/Height
Event
Best Distance/Height
Other Varsity Sports you are considering playing in college

Ursinus Students or Alumni you know