Track & Field Recruiting Questionnaire

Please fill out the form below to submit your information to University of Pittsburgh Track & Field. All fields are not required but please keep in mind that the more information you supply the better your chances of being recruited.

Name

Social Security Number

Address

City

State

Zip

Parent's Name

Telephone

E-mail

Height

Weight

Age

Birthdate

Shoe Size

High School

Address

Guidance Counselor

High School Phone

SAT Scores
M
V

PSAT

ACT

GPA

Class Rank

Desired College Major

Are you registered with the NCAA Initial-Eligibility Clearinghouse?
Yes
No

If so, what date were you certified?

Have you applied to the University Of Pittsburgh
Yes
No

If so, Date

Have you applied for financial aid for college?
Yes
No

If so, Date

Best Performances

100: 200: 400: 110H: 300IH: 400IH:
800: 1600: 3200: Steeple: XC:
LJ: TJ: HJ: Shot: Discus: Hammer:
Weight: Javelin: Pole Vault:
Pentathlon: Heptathlon: Decathlon:

High School or Club Track Coach

Phone Number

Cross Country Coach

Phone Number

How interested are you in coming to the University of Pittsburgh? (check one)

Very Interested
Somewhat Interested
Need more information