Women's Cross Country Student-Athlete Questionnaire
Please fill out the following questions. When finished, it will submit your answers to a member of the coaching staff for the sports you have expressed an interest in.

Required Fields in Bold

E-Mail Address:
Mailing Address (Street, City, State, Zip):
Home Phone Number:
Cell Phone Number:
Date of Birth:
Mother's Name/Occupation/Alma Mater (if applicable):
Mother's E-mail Address and/or Cell Phone Number:
Fatherís Name/Occupation/ Alma Mater (if applicable):
Father's E-mail Address and/or Cell Phone Number:
Sibilngs Names and Ages:
Family/Friends at Creighton:
Name of Current School Being Attended:
Year of Graduation:
School City & State:
ACT/SAT test score:
Cumulative GPA:
Other Sports/Activities/Involvement:
College Academic Interests:
NCAA Eligibility Center Number:
Cross Country Personal Bests
4K (location and date achieved):
5K (location and date achieved):
3 MILES (location and date achieved):
Track Personal Bests:
400 (location and date achieved):
800 (location and date achieved):
1500 (location and date achieved):
1600 (location and date achieved):
3000 (location and date achieved):
3200 (location and date achieved):
5000 (location and date achieved):
2K Steeple (location and date achieved):
Race accomplishments and athletic recognitions/awards:
High School/Current Coach:
High Schooll/Current Coach E-mail Address and/or Telephone Number:
Schools You Are Considering:
Message for coach:
Jays Video
(M) Soccer
MSOC vs. Missouri State Highlights 9-29-15
(M) Soccer
MSOC NIU Highlights (9-22-15)
(W) Soccer
WSOC Highlights vs. CSU, 9-20-15
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