Welcome to the University of Louisville
Cross Country/Track and Field
Prospective Student Athlete Questionnaire

Please fill out the following questionnaire as thoroughly as possible and click the save button below when you have finished.

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Please be sure to fill out all required fields:
First Name, Last Name, Select School, H.S. Grad Year (e.g. 2005)

 

Personal Information
 
Your Name:
First Middle Last
Preferred Name:
Street Address:
City:
State / Zip:
Country:
Hobbies:
Most influential person in your life involved in your decision making:
Gender
Date of Birth:
Month Day Year
Place of Birth:
Email Address:
Home Phone:
Cell Phone:
Church Affiliation:
Family/Friends who attended School:
 

Parent's Information
 
Mother's First Name:
Mother's Last Name:
Mother's Job:
Mother's Phone:
Mother's Work #:
Mother's Cell #:
Mother's Email:
Mother's Address:
City:
State / Zip:
Mother's College:
Brothers/sisters (Names/Ages):
Father's First Name:
Father's Last Name:
Father's Job:
Father's Phone:
Father's Work #:
Father's Cell #:
Father's Email:
Father's Address:
City:
State / Zip:
Father's College:
Person(s) you live with:
 

Academic Information
 
Please use the SELECT SCHOOL Button to choose your school.
School Type:
School Name:
School Address:
School City:
School State / Zip:
School Phone #:
School Fax #:
Career Plans:
School Colors:
Academic Honors:
Grad Year: Month:
GPA:
SAT Test Date: Score:
ACT Test Date: Score:
Class Rank:
Academic Interest:
Counselor's First Name:
Counselor's Last Name:
Principal's First Name:
Principal's Last Name:
 

HS/JC Athletic Info
 
Coach's First Name:
Coach's Last Name:
Coach's Office #:
Coach's Home #:
Coach's Cell #:
Coach's Fax #:
Coach's Email:
Coach's College:
 

Athletic Stats
 
Height:
Weight:
Athletic Honors:
Toughest three competitors.
 

Athletic Stats
 
Best Performance:
100:
200:
400:
400 Hurdles:
300 Hurdles:
High Hurdles:
800:
1500:
3000:
5000:
Steeple:
10000:
Triple Jump:
High Jump:
Long Jump:
Shot:
Discus:
Javelin:
Best Performance:
Hammer:
Pole Vault:
Decathlon:
Heptathlon:
Cross Country 5K:
5K Course:
Cross Country 3M:
3M Course:
Cross Country 4K:
4K Course:
3200:
1600:
100 Hurdles:
110 Hurdles:
60:
60 Hurdles:
2K Steeple:
 

When you have completed this questionnaire please click the save button.