Name

Address

City   State      

Zip    Phone Number

e-mail

Social Security Number

Age    Birth Date

GPA     Graduation Date   SAT    ACT   Rank in Class

Academic Interest  High School/Junior College

Coach's NameHome Phone    Office Phone

Father's Name  Mother's Name

Male       Female

100 meters                          FAT Timed 

100/110 meters hurdles       FAT Timed 

200 meters                          FAT Timed 

400 meters                          FAT Timed 

800 meters                                   Time  

1500 meters                                  Time  

1600 meters or   Mile              Time  

3000 meters                                 Time  

3200 meters                                 Time  

5000 meters                                 Time  

10,000 meters                              Time  

300 meters hurdles              FAT Timed 

400 meters hurdles              FAT Timed 

Long Jump                  Distance Jumped 

Triple Jump                 Distance Jumped 

High Jump                      Height Jumped       

Pole Vault                      Height Jumped  

Discus                                      Distance  

Javelin                                      Distance  

Shot Put                                   Distance  

Hammer Throw                        Distance