| Cross Country Prospective Athlete Form |
| Personal Information |
|
|
|
|
| Middle Name |
|
*High School Graduation Year |
|
| *Home Address |
|
*Hometown |
|
| *State |
|
*Zip |
|
| Country |
|
*Phone |
|
| *Email Address |
|
Date of Birth |
|
| Father's Name |
|
Father's Occupation |
|
| Mother's Name |
|
Mother's Occupation |
|
| Mother/Father SWOSU Alumni? |
|
Anyone you know attending SWOSU |
|
| Planned Field(s) of Study |
|
| Cross Country Information |
| High School |
|
| Coach's Name |
|
Coach's Phone |
|
| Height |
|
Weight |
|
| Average Mile Time |
|
| Last five cross country meets in which you participated: |
| Meet Name |
Date of Meet |
Distance |
Your Time |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Awards |
|
| Injuries |
|
| Academic Information |
| *GPA |
|
*SAT/ACT Score |
|
| *Class Rank |
|
|
|
| Awards |
|
| If currently attending a Junior College, will you graduate? |
No |
| NCAA Clearinghouse |
| *Are you registered with the NCAA Clearinghouse? |
Yes
No |
| |
