Prospective Student Application PERSONAL INFORMATION Athlete's Name (required) Gender (required) ChooseMaleFemale Date of Birth (required) Athlete's Email (required) Phone Parent/Guardian #1 Name (required) Parent/Guardian Email address Parent/Guardian Phone (required) Parent/Guardian Occupation Physical Address (required) Parent/Guardian #2 Name (optional) Emergency Contact Phone (optional) Athlete Medical Conditions ACADEMIC INFORMATION Current School Attending (required) Current School City & State Current School Graduation Year (required) Current School Coach Name Current School Coach Email High School GPA High School Class Rank of ACT Composite Score ACT Sum Score SAT Score Anticipated Major Junior College/4-year College attended Have you applied to the NCAA Eligibility Center? ChooseYesNo NCAA Eligibility Center ID #? ATHLETIC INFORMATION & PERFORMANCES Height (required) Weight (required) Years Participated in Track Event #1 (required) Choose One6010020040080015001600320050001000060H100H110H (High School)110H (College)300H400HSteeple ChaseLong JumpTriple JumpPole VaultHigh JumpShot Put (High School)Shot Put (College)Discus (High School)Discus (College)JavelinHammerHeptathlonDecathlonPentathlon Location Date Best Mark (required) Event #2 (required) Choose One6010020040080015001600320050001000060H100H110H (High School)110H (College)300H400HSteeple ChaseLong JumpTriple JumpPole VaultHigh JumpShot Put (High School)Shot Put (College)Discus (High School)Discus (College)JavelinHammerHeptathlonDecathlonPentathlon Location Date Best Mark (required) Event #3 (required) Choose One6010020040080015001600320050001000060H100H110H (High School)110H (College)300H400HSteeple ChaseLong JumpTriple JumpPole VaultHigh JumpShot Put (High School)Shot Put (College)Discus (High School)Discus (College)JavelinHammerHeptathlonDecathlonPentathlon Location Date Best Mark (required) Event #4 (required) Choose One6010020040080015001600320050001000060H100H110H (High School)110H (College)300H400HSteeple ChaseLong JumpTriple JumpPole VaultHigh JumpShot Put (High School)Shot Put (College)Discus (High School)Discus (College)JavelinHammerHeptathlonDecathlonPentathlon Location Date Best Mark (required) VIDEO AND WEB LINKS Competition or Practice Video Online Recruiting Profile Facebook Profile Twitter Profile Instagram @ Optional Message