TENNESSEE TECH GOLDEN EAGLE CROSS COUNTRY / TRACK & FIELD
PROSPECTIVE STUDENT-ATHLETE QUESTIONNAIRE

This form is not an official university application.

Personal Information
Today's Date
Name
Address
City
State
Zip / Postal
Country
Telephone
Cell Phone
Email
Date of Birth
Parent's Names
Academic Information
High School Name
College Name (if applicable)
High School Address
High School Phone
High School Graduation Year
Intended Major
High School GPA
College GPA (if applicable)
Class Rank (x of x)
SAT Score (verbal and math)
ACT Score
Do you plan to take the test again?	Yes No
If yes, which one and when?
Have you ever applied here?	Yes No
Do you intend to apply for financial aid?	Yes No
Academic Honors
Other colleges you are interested in
Athletic Information
Primary sport you are interested in	Men's Cross Country Women's Cross Country Women's Track & Field
Other sports
Height
Weight
Current Team (if different from high school)
Letters Won in this sport
Coach's Name
Coach's Phone
Position/Event
Career Statistics (include personal best times)
All-Conference Honors in Career (first team as a junior, etc.)
Other Athletic Honors in Career (all-state, all-area, etc.)
Other Honors
Team Highlights in Career