Oklahoma State Men's Track and Field/Cross Country Questionnaire

Please fill out the following information. Once submitted, your information will be sent to head coach Dave Smith. Completion of this questionnaire does not commit you or Oklahoma State University.

Required Fields in Bold

NAME (Last, First, Middle):
 
STREET ADDRESS:
 
CITY:
 
STATE:
 
ZIP:
 
EMAIL ADDRESS:
 
HOME PHONE:
 
PLANNED COLLEGE MAJOR:
 
BIRTHDATE:
 
FATHER'S NAME:
 
FATHER'S OCCUPATION:
 
FATHER'S COLLEGE:
 
MOTHER'S NAME:
 
MOTHER'S OCCUPATION:
 
MOTHER'S COLLEGE:
 
 
ATHLETIC INFORMATION

AGE:
 
HEIGHT:
 
WEIGHT:
 
HIGH SCHOOL/JUNIOR COLLEGE:
 
SCHOOL PHONE:
 
SCHOOL ADDRESS:
 
CITY:
 
STATE:
 
ZIP:
 
COACH'S NAME:
 
HOME PHONE:
 
YOUR EVENTS:
 
TOP INDIVIDUAL PERFORMANCES AND MARK/YEAR TRACK AND FIELD:
 
TOP INDIVIDUAL PERFORMANCES AND MARK/YEAR CROSS COUNTRY:
 
OTHER SPORTS PLAYED:
 
 
ACADEMIC INFORMATION (Please complete if information is available.)

HIGH SCHOOL GRADUATION DATE:
 
GUIDANCE COUNSELOR:
 
CORE GRADE POINT AVERAGE:
 
CLASS RANK:
 
PSAT SCORE (list verbal, math, total, and date taken):
 
SAT SCORE (list verbal, math, total, and date taken):
 
ACT SCORE (list English, math, social science, natural science, composite, and date taken):
 
ACADEMIC HONORS:
 
REQUESTED TRANSCRIPT SENT TO OSU:
 
YES
NO
HAVE YOU APPLIED TO OSU?
 
YES
NO
LIST YOUR TOP FIVE COLLEGE CHOICES:
 
BEST DAY/TIME TO CALL YOU AT HOME:
 
Verify characters:
 

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