Susquehanna Track & Field Recruit Questionnaire

Contact Information

*Full Name:

*Street Address:

*City/Town: *State:

*Zip Code:

*Home Phone Number: Cell Phone Number:

*E-mail Address:

Education-Related Information

High School:

City/Town: State:

Graduation Month, Year:

GPA: Class Rank:

Verbal SAT Score: Math SAT Score:

ACT Score:

Status (HS Sr., HS Jr., HS So., Transfer):

Tentative Area of Study (Accounting, Biology, Chemistry, etc.):

Other College(s) Considering:

Academic Honors:

Athletic Information

Number of Years Competing:

Athletic Honors:

Height: Weight:

High School Coach's Name:

High School Coach's Phone Number:

High School Coach's E-mail Address:

Club Team:

Club Team Coach's Name:

Club Team Coach's Phone Number:

Club Team Coach's E-mail Address:

Event: Best Mark:

Event: Best Mark:

Event: Best Mark:

Event: Best Mark:

Other Information

Parent(s)' Status (Married, Divorced, Other):

Father's Name: Occupation:

Mother's Name: Occupation:

Do you currently have a sibling enrolled in college?:

If yes, which school?:

Will you be applying for need-based financial aid?:

Do you know anyone who is enrolled at Susquehanna or has attended Susquehanna?:

If so, list name(s):

* = required