Track and Field Questionnaire - Arkansas State Athletics Official Web Site - astateredwolves.com

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Track and Field Questionnaire

If you are interested in the ASU Track and Field Program, please complete this questionnaire.

Required Fields in Bold

First Name:

Last Name:

Birthday:

Gender:

Street Address:

City:

State:

Zip Code:

Phone Number:

Social Security Number:

Age:

Height:

Weight:

Shoe Size:

Uniform Size:

Date of High School Graduation:

Email address:

Name of Parents/Gauridan:

Occupation of Mother:

Occupation of Father:

Number of Brothers:

Number of Sisters:

How many attend college?:

Where did you attend High School?:

High School G.P.A:

ACT/SAT Score:

Class Rank:

High School Coaches Name:

Coaches Office Phone Number:

High School Counselor Name:

Are you registered with the NCAA Clearing House?

	Yes
	No

Academic Interest:

If Yes, what is your NCAA Clearing House Number?

Other Sports and Interests:

Friends that might be interested in ASU:

Track and Field Best Performances: Event, Date, Best Effort: (List 3-5 Events)

				Best weightlifting performances, vertical leap, standing broad jump, 40 yard dash, or any other athletic assessment tests
				

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