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Cross Country Information Form
The purpose of this questionnaire is furnish information for our files. It does not obligate you in any way or affect your performing eligibility.

Required Fields in Bold
 
Personal Information
First Name:
 
Last Name:
 
Email:
 
Street Address
 
City
 
State
 
Zip Code
 
Home Phone
 
Date of Birth
 
Height
 
Weight
 
Parent's Name(s)
 
 
Scholastic Information
School Currently Attending
 
Type of School
 
High School
Junior College
4-Year University
Classification
 
5A
4A
3A
2A
1A
Private
Other
Date of your graduation
 
Class rank
 
Grade point average
 
SAT
 
ACT
 
Intended Major
 
 
 
Athletic Information
Coach
 
Coach's Phone
 
Places in district, regional, and state
 
List your best times
 
Cross Country honors
 
Explain any injuries incurred
 
Other sports in which you compete
 
Have you registered with the NCAA Initial-Eligibility Clearinghouse?
 
Yes
No
If NO, contact your guidance counselor, who can obtain materials, at no cost, by calling the Clearinghouse at 319-337-1492. Registration with the NCAA Clearinghouse can also be done at www.ncaaclearinghouse.net. Also, when taking the SAT and ACT, scores can be sent to the clearinghouse by putting the clearinghouse's institution code "9999" in the box when registering to take the tests.
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