Recruitment Form: Cross Country + Track (M + W)

Personal Information

Email address *
Re-type email *
First Name *
Middle Name
Last Name *
Sex
  Male
  Female
Address
Apt./Unit #
City
State
Zip or postal code
Country
Phone
(include area code)
Date of Birth
MM/DD/YYYY
Guardian's Name
Guardian's relation to you
(e.g. mother, uncle, etc.)
Guardian's occupation
Second guardian's name
(if applicable)
Second guardian's relation to you
Second guardian's occupation

Academic Information

High school name
High school address
High school phone #
Guidance counselor
Counselor's phone #
ACT Score
SAT V
SAT M
High school scholastic average
Class rank
(approx)
Out of
Date of graduation

Cross Country

Distance
Best time

FRESHMAN

Championships won
Distance
Best time

SOPHOMORE

Championships won
Distance
Best time

JUNIOR

Championships won
Distance
Best time

SENIOR

Championships won
Distance
Best time

Indoor Track & Field

Events
Best time

FRESHMAN

Championships won
Events
Best Time

SOPHOMORE

Championships won
Events
Best Time

JUNIOR

Championships won
Events
Best Time

SENIOR

Championships won

Outdoor Track & Field

Events
Best time

FRESHMAN

Championships won
Events
Best time

SOPHOMORE

Championships won
Events
Best time

JUNIOR

Championships won
Events
Best time

SENIOR

Championships won
Are videotapes available for viewing?
  Yes
  No

Other high school varsity sports played

Sport
Years played
Years started
Sport
Years played
Years started
Sport
Years played
Years started

General Information

Do you know anyone who attends/has attended Emmanuel College?
  Yes
  No
If yes, name(s)
Relation to you
When did s/he attend Emmanuel?
Have you applied to Emmanuel College?
  Yes
  No
If no, do you intend to apply?
  Yes
  No
Intended college major
Have you filed a Financial Aid form?
  Yes
  No
Do you intend to apply for Financial Aid?
  Yes
  No
Other colleges you intend to apply to
Comments?
* = required field