University of Dubuque Cross Country Prospect Form

Monday, October 06, 2008

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Spartan Cross Country

Spartan Cross Country Prospect Form
UD Cross Country

Personal Information
Name (First, Last)*
Address*
City*
State*
Zip Code
Country (if not USA)
email address*
Parent's Name
Phone*	(Include area code)
Best Time to Contact You:
When do you plan to attend UD?*

High School/College Information
Age
High School
High School Phone Number
High School Coach's Name
Coach's Phone
Graduation Year*
GPA
Class Rank	in a class of
ACT Test Score
Transfer Student? *	Yes No
If Yes, list college
If Yes, list address
What Other Sports Are You Interested in Participating in at the College Level?*
Track Football Basketball Baseball Soccer Golf	Cross Country Volleyball Softball Wrestling Tennis None
Anticipated Major

Other Information
List any outstanding team/individual honors/awards received.
Have you ever been on the University of Dubuque Campus?	Yes No
What would be your contribution to the University of Dubuque's athletic program of your choice?
List a schedule of your games/tournaments, if available.
Do you know anyone attending the University of Dubuque?	(Name)
List other colleges under your consideration.

Cross Country Information
Height
Years on Varsity
Events
Event Times
State Qulifier (When and Where)
Favorite Event
Additional Comments
* Required Information in Red