Track Prospective Athlete
Please fill out the form in its entirety. Thank you.

Required Fields in Bold

 
Personal Information

First Name
 
Middle Name
 
Last Name
 
Home Phone
 
Phone Country Code if outside US/Canada
 
Address
 
City
 
State/Province
 
Zip Code
 
Country (if outside US/Canada)
 
Father's Name
 
Occupation
 
Telephone
 
Alma Mater
 
Mother's Name
 
Occupation
 
Telephone
 
Alma Mater
 
Parent or Guardian's Address
 
Siblings in College
 
 
Gender
 
Male
Female
Birthdate
 
Age
 
Height
 
Weight
 
Social Security Number
 
E-Mail Address
 
 
Academic Information

High School
 
Graduation Year
 
Address
 
City
 
State/Province
 
Zip Code
 
School Phone
 
Guidance Counselor
 
Guidance Counselor Phone
 
GPA
 
GPA Scale
 
4.00
5.00
Class Rank
 
ACT
 
English
 
Math
 
Reading
 
Science
 
SAT
 
SAT Verbal
 
SAT Math
 
PSAT
 
PACT
 
Have you applied for admission to WSU?
 
Yes
No
Have you applied for Financial Aid (FAFSA)?
 
Yes
No
Are you registered with the NCAA Clearinghouse Initial Eligibility?
 
Yes
No
Academic Honors
 
Desired Major
 
 
Athletic Information

Coach
 
Coach Home Phone
 
Coach's Alma Mater
 
List four track events that you have competed in, the time/mark, the meet and the date of the meet.
Track Events
 
List three cross country runs with the distance, time, meet and date
Cross Country Meets
 
List two road races with the distance, time, meet and date.
Road Races
 
Hobbies/Interests/Other Sports
 

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