• Adobe Acrobat .PDF file
• Microsoft Word .DOC file

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Cross Country / Track & Field Questionnaire

NCAA Guide for the College-Bound Student-Athlete

High School Graduation Date
Name
Social Security Number
Phone
Address
City
State
Zip
Country (if outside U.S.A.)
Your e-mail address
High School
GPA
ACT/SAT score
Class rank (example: 23 of 129)
Schools attended after high school:
Have you applied to the NCAA Eligibility Center (Formerly the Clearinghouse)?	yes no
Sports participated in while in high school
Have you received an application and/or information about UCM?	yes no
Have you visited the UCM campus?	yes no
Anticipated academic major at UCM
Athletic Information
Height	' "
Weight	lbs.
Cross Country/Track & Field Events Best Performance Date

Note: Hitting "reset" clears the entire questionnaire. Hitting "submit" sends the questionnaire to us and sends you to a "Form Confirmation" page, which means that your questionnaire was successfully sent to us and that you DO NOT need to submit another one unless there was an error in the information you provided. Thank you!

Comments or questions?  E-mail the CMSU Cross Country/Track & Field Coaching Staff: janvrin@ucmo.edu