Form must be filled out completely to be eligible for entry. If a question does not apply to you, please put N/A in the box.

Name

Social Security Number

Street Address

City, State

ZIP

Country

Home Telephone

E-mail Address

Parent Name

Parent Work Telephone

Parents Occupation

Major Desired

SAT Scores:

Verbal

Math

Total

Rank In Class

Grade Point Average

Favorite Subject

High School

Address/Phone Number

Guidance Counselor

Name of Coach

Home Telephone of Coach

Date of Birth

Height

Weight

Grade

Expected Graduation

How many days of school have you missed in the past year?

Please list any injuries you have had.

How many meets have you missed due to injury or illness?

Please list any other sports you have played on the varsity level.

Please list your best track and field/cross country performances, starting with the event and date, the place, your performance and the site.