Cross Country Recruiting Questionnaire

Name:
Birthdate:	//19
Gender:	Male Female
Address:
City:
State:	Zip:
Country:
Home Phone:
E-mail Address:
Home Church:
Religious Affiliation:
High School:
H.S. Phone Number:
Coach
Coach's Phone Number:
Coach's E-mail Address:
Year of Graduation:
Height:
Weight:
GPA:
ACT Score:
Date Taken:	//
SAT Score:
Date Taken:	//
Date Registered for NCAA Clearinghouse:	//
Prefered College Major:
Are you a college transfer?	Yes No
If so, from what college:
Do you currently have a release from that college?	Yes No
Father's Name:
Occupation:
Mother's Name:
Occupation:
Number of Siblings:
Academic Achievements:
Athletic Achievements:
Key Statistics:
Top Three College Choices:	1. 2. 3.
Video Available?	Yes No
Date Video Will Be Sent:	//20
How many years have you run CC in high school:
How many years have you run track in high school?:
What are your favorite event(s) to run?
Please list any honors you have received as a result of your running:
What interests you about running cross-country at the collegiate level?
Please list your best times for any of these distances:
400 meters:
800 meters:
1600 meters (1 mile):
3200 meters (2 miles):
Cross-country 3200 meters:
Cross-country 5000 meters (3.1 miles):

Rate your interest level for running cross-country at the collegiate level (1=low interest, 5=medium interest, 10=high interest):
What would you like to know about the cross-country team at Colorado Christian University?
Comments?