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Cross-Country Questionnaire

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Personal Information

Student's Legal Name

First
Middle
Last
Preferred Name
Height
Weight
Address
City
State/Province
Zip/Postal Code
High School Attended
E-mail Address
Home Phone  Enter with dashes, i.e. 323-555-1234
Date of Birth ,
Parents or Guardian(s)
Parents' Occupation  Father     Mother
High School Coach
High School Coach Phone   Home      Work

Academic Information

Class Ranking Class rank#  out of (total class size) GPA
High School
Graduation Year
Enter 4 digits, e.g. 2001
Major
SAT Scores Verbal: Math: Total:
ACT Scores
Academic Honors
(please describe in box to your right)
Other Colleges Considering choice 1:
  choice 2:
  choice 3:
Athletic Participation
Personal 5K Record (hours:minute:seconds)
Other Sports Played
Athletic Honors
(please describe in box to your right)
   

 

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Phone: (919)760-8600 | Fax: (919)760-2874