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Men'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

Name:
 
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:
 
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