Student-Athlete Questionnaire - Cross Country, Track and Field

Personal Information

First Name

Middle Name

Last Name

Email Address

Birthdate

Place of Birth

US Citizen

Mailing Address

Country

Street

City

Region

Postal Code

Telephone

Cell Phone

Family Information

Father's Name

Father's College Alma Mater

Father's Occupation

Mother's Name

Mother's College Alma Mater

Mother's Occupation

Names and Ages of Brothers and/or Sisters

High School Information

High School

College Name (If applicable)

High School Address

Country

Street

City

Region

Postal Code

High School Phone

High School Graduation Year

Intended major at UE

I want to enter UE as

High School GPA

College GPA (If applicable)

Class Rank (x of x)

SAT Score (verbal and math)

ACT Score

Do you plan to take either test again?

If "yes", which one, and when?

Have you ever applied to UE

Do you intend to apply for financial aid at UE

Academic Honors

Other colleges you are interested in

Highest math course taken and grade received

Highest science course taken and grade received

Highest language course taken and grade received

Highest English course taken and grade received

Athletic Information

List any sports you wish to play at UE and the position, if applicable

Other Sports

Height

Weight

Current Team (If different from high school)

Letters won in this sport

Coach's Name

Coach's Phone

Position/Event

Career Statistics (include personal best times)

All-Conference Honors in Career (first team as junior, etc)

Other Athletic Honors in Career (all-state, all-area, etc)

Other Honors

Team Highlights in Career

Have you Suffered any Major Injuries? (if so, what kind)

When do you plan to attend UE?

I don't want to miss out on the exciting events happening at UE. Selecting "Yes" allows us to stay in touch with you.