CCSU
 

  Cross Country/Track & Field Prospective Student-Athlete Questionnaire

Full Name

Male or Female

Street Address
City
State
Zip Code
Country
Home Phone
Cell Phone
Email Address
Height/Weight
Birthdate
NCAA Clearing House ID
Year of Graduation (HS)
Parent's Names
Parent's Street Address
Parent's City
Parent's State
Parent's Zip Code
Parent's Email Address
Parent's Phone
High School Attended
High School Coach Name
High School Coach Phone Number
Prep School Name
Prep School Coach Name
Prep School Coach Phone Number
AAU/Summer/Club Team Name
AAU/Summer/Club Coach Name
AAU/Summer/Club Coach Phone Number

Events/Times
Other Sports Played