Cross Country/Track & Field

 Prospective Athlete Questionnaire

The following Athletic Prospect Information Form serves as an initial contact between prospective Goucher student-athletes and the Goucher Department of Intercollegiate Athletics. All information is confidential and distributed to only the coaching staff. Please follow the directions on this form and complete ALL fields.

Use the Tab key to move between fields. DO NOT PRESS ENTER.

 

General Information
Name     
Home Address
City      State       Zip
Home Phone      Cell Phone
Email Address
DOB      High School Graduation Date
Mother's Name/Phone Number/Occupation/College Attended / /
/
Father's Name/Phone Number/Occupation/College Attended / /
/
Currently Living With Mother     Father      Both     Other
High School/Community College Name                                              
City      State     Zip
Grade Point Average      Class Rank out of
SAT Score:     ACT Score:
Cell Phone       
Email Address
High School Coach
Phone      Email
Interested in participating in: Cross Country     Track & Field     Both
Cross Country Best Time:      Course Run:
Track/Field Event 1:           Time/Distance:
Track/Field Event 2:           Time/Distance:
Track/Field Event 3:           Time/Distance:
Track/Field Event 4:           Time/Distance:
Athletic Honors
Have You Applied to Goucher Yes     No
How Will You Apply Early Decision   Early Action 
Regular Decision
Will You Apply for Financial Aid Yes     No