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Track & Field Prospective Student-Athlete Questionnaire

Personal Information:

First and Last Name *

Preferred Name

Address (Street Address, City, State and Zip Code) *

Home Phone *

Cell Phone

E-Mail Address

Date of Birth *

Family or Friends Who Have Attended UD

Parent / Guardian Name & Relation

Phone

E-Mail Address

College Attended

Occupation

Employer

Academic Information:

High School *

GPA *

Class Rank

Intended Major

Graduation Date *

Registered with Eligibility Center *

SAT

SAT (Critical Reading)

SAT (Verbal)

SAT (Math)

ACT

ACT (Math)

ACT (Reading)

ACT (Science)

ACT (English)

PSAT

PLAN

TOEFL

Athletic Information:

Height / Weight *

55m H

60m FAT

100m FAT

200m FAT

300m FAT

400m FAT

500m FAT

600m FAT

800m FAT

1500m

1600m

3000m

3200m

Mile

2 Mile

5K

10K

2K Steeple Chase

3K Steeple Chase

XC Performance & Location

55m FAT

60m H

100m H

300m H

400m H

Long Jump

Triple Jump

High Jump

Pole Vault

Shot Put

Discus Throw

Javelin Throw

Weight Throw

Hammer Throw

Pentathlon (Indoor)

Heptathlon

Other Sports

High School Coach Name *

Coach E-mail

Coach Phone