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Track and Field Student-Athlete Questionnaire

Please fill out the following information completely and remember to submit the form.
Thanks for your interest in Kansas State Track and Field.

* Required

*Today's Date:
*First Name and Middle Initial:
*Last Name:
*Home Address:
*City:
*State:
*Zip:
*Country:
*Phone:
*E-Mail:
*Date of Birth:
*Name of High School:
*Graduation Date:
*Events:
*Right/Left Handed:
*Times/Distance:

*Ht: *Wt:
*Personal Bests and Year Attained:
*High School Coach:
*High School Coach Phone:
Track and Field Club:
Club Coach:
Club Phone:
*SAT Scores V: M:
or *ACT Score:
PSAT/PACT Scores V: M:
*GPA:
Class Rank/Out of:
*Academic Interest in College:
*Other colleges considering:
*Mother's Name:
Mother's Occupation:
*Father's Name:
Father's Occupation:
Awards/Honors:

Noteworthy performances at high school, regional or national meets:
Tell us more about you:

*Tell us about your upcoming meets:

*Other Sport Participation:

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