Track Interest Form

PERSONAL INFORMATION
Full Name: Cell Phone:
Address: Home Phone:
City: Email:
State:
Zip Code:
Country:
Father's Name: Occupation:
Mother's Name: Occupation:
If your parents attended college, which ones?
What Church do you attend?
Interested course of study/possible major:
 
HIGH SCHOOL INFORMATION
School Name: Coach's Name:
Graduation Date: Coach's Phone #:
School Address: Coach's Email:
SAT: ACT:
GPA: Your class rank:
Number of graduates in your class:
 
COLLEGE INFORMATION  Transfers Only
School Name(s): Coach's Name:
School Address: Coach's Phone #:
GPA: Coach's Email:
 
CLUB INFORMATION
Current Club Team: Coach's Phone #:
Coach's Name: Coach's Email:
 
CROSS COUNTRY/TRACK INFORMATION
Weight (men only): Height:
Statistics from your most recent season
Best CC Marks (Race Length, time):
Best Track & Field Marks (Race Length, time):
Sprint times (i.e. 40, 100, 200, 400):
Running times (i.e. 800, 1500, Mile, two-Mile):
What are your strengths as a runner?
Honors Received (High School, College, Club):
Other schools recruiting you:
 
MISCELLANEOUS
Will you be applying for financial aid?
Interests or hobbies other than Cross Country/Track:
Would you be able to attend a try-out?
Do you have a video/dvd of your races?
Would you be interested in making a campus visit?
Submit
Webmaster 828 East 11th Ave. | Eugene, Oregon 97401 | toll free: 877-INFO-NCC | local: 541-684-7200, 541-343-1641 and 541-343-1642 BeaconNet
Countdown to NCU
NCC becomes Northwest Christian University on July 1, 2008!
Learn More