Athletics

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Cross Country Questionnaire
Head Coach
Toby Schwarz
(509) 777-4361
tschwarz@whitworth.edu

General Information
 
First Name (required)

Middle Initial
 
Last Name (required)
 
Address (required)
 
City (required)
 
State (required)
 
ZIP/Postal Code (required)
 
Phone Number (required)
(  
 
E-mail (required)
 
Birthdate (required)
 /   / 
 
Other sports you wish to participate in at the college level:

Academic Information
 
High School Name (required)
 
High School City (required)
 
High School State (required)
 
High School ZIP/Postal Code (required)
 
High School Graduation Date (required)
 / 

SAT/ACT Score

High School GPA

College Attended

College GPA

Received A.A. Degree?

Possible Major

Athletic Information

High School Coach's Name
 
High School Coach's E-Mail
 
High School Coach's Work Phone
(  
 
High School Coach's Home Phone
(  

Current Coach's Name
 
Current Coach's E-Mail
 
Current Coach's Work Phone
(  
 
Current Coach's Home Phone
(  


Please list your best two or three track times in at least two of the following events:

I would like to submit the following number of track times for the 800m event:  track time(s).

I would like to submit the following number of track times for the 1500m event:  track time(s).

I would like to submit the following number of track times for the 1600m event:  track time(s).

I would like to submit the following number of track times for the 3000m event:  track time(s).

I would like to submit the following number of track times for the 3200m event:  track time(s).

I would like to submit the following number of track times for the 5K event:  track time(s).


How long have you been running?
 
Other schools you are interested in attending:

How interested are you in participating in cross country?

Other Information

Father's Name

Father's Occupation

Mother's Name

Mother's Occupation
 
List any friends or family who have attended Whitworth, and your relationship to them:
 
Other information you would like us to know:

Interest Level


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Campus Telephone: 509.777.1000