Northern Michigan University

Cross-Country Questionnaire

Personal Information

First Name

Last Name

Street

City

State/Province

Zip/Postal code

Phone

Email (required)

Date of Birth
/ /

Parent/Guardian name(s) Sibling Name(s)

Scholastic Information

High School

Grad Year

School Phone Number
  

School Address

City

State/Prov

Zip/Postal Code

Academic Information

SAT
ACT
G.P.A

Anticipated Enrollment Semester
Degree*   
 Major
*NCAA student-athletes need to be enrolled in a four-year program (baccalaureate) in order to play sports.
Have you applied to the NCAA clearing house?
 PIN #
If Transferring to NMU
College/University
 City
 State
 Zip
Credits to Transfer
 GPA
    
Athletic History
List any athletic honors received (i.e. All-American, Sectional, Regional, Conference, Captain, MVP, etc.)
Goals & Expectations
Individual
 High School Team/Club
Strengths
 Weaknesses
5 Km Time
 4 Km time
 1 mile track time
800 meter track time
 2 mile track time
 Any other distance events such as road races, 5 or 10 km
times
Additional Comments