Cross Country 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:
*Address:
*City:
*State:
*Zip:
*Country:
*Phone:
*E-Mail:
*Date of Birth:
*Name of High School:
*Graduation Date:
*Events:
*Ht:	*Wt:
*Times/Distance:
*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 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:
Verify characters: