UNIVERSITY OF PORTLAND ATHLETICS
Cross Coutry

Personal Information
Gender: Male
Female
Name:
E-mail:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Date of Birth:
/ /
Social Security #
NCAA Clearinghouse#
Height (feet) (inches)
Weight (pounds)
Father’s Name
Father's Occupation
Mother’s Name
Mother's Occupation
 
Academic Information
High School
Phone Number
Year of Graduation
Current GPA
ACT Score
SAT Score: Verbal Math:
SAT Score: Total
Counselor Name
Desired College Major
 
High School Athletic Information
Coach’s Name
Coach’s School Phone
Coach’s Home Phone
Coach’s Cell
Coach’s E-mail
Primary Position
Secondary Position
Uniform #
 
Club/Summer Team Information
Team Name
Coach
Coach’s Home Phone
Coach’s Cell
Coach’s E-mail
Primary Postion
Secondary Position
Uniform #
 
Miscellaneous Information
Reason for interest in the University of Portland
Level of interest for University of Portland
Academic and athletic goals
Other hobbies, sports or activities
Other schools you are applying to
 
Sports Specific - Cross Country
Best Finish at State Meet
Best 5,000m Time

    








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