DEPAUL UNIVERSITY
TRACK & CROSS COUNTRY

PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
GENDER  
DATE OF BIRTH  
NCAA CLEARINGHOUSE NUMBER  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME COUNTRY  
HOME PHONE  
CELL PHONE  
EMAIL  
FACEBOOK  
TWITTER  
INSTAGRAM  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S WORK PHONE  
MOTHER'S EMAIL  
MOTHER'S CELL  
MOTHER'S OCCUPATION  
MOTHER'S ALMA MATER  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S WORK PHONE  
FATHER'S EMAIL  
FATHER'S CELL  
FATHER'S OCCUPATION  
FATHER'S ALMA MATER  

ACADEMIC INFORMATION

HS NAME  

GRADUATION YEAR  
HS ADDRESS  
 
HS CITY  
HS STATE  
HS COUNTRY  
ZIP  
HS PHONE  
HS FAX  
CLASS RANK/SIZE  
GRADE POINT AVERAGE/SCALE  
ACT  
SAT MATH  
SAT CRITICAL READING  
SAT WRITING  
SAT TOTAL  
INTENDED MAJOR  

ATHLETIC INFORMATION

LEVEL OF INTEREST  
POSITION  
HEIGHT  
WEIGHT  
EVENTS  
TIME/DISTANCE EVENT

DATE
TIME/DISTANCE EVENT

DATE
TIME/DISTANCE EVENT

DATE
TIME/DISTANCE EVENT

DATE

ATHLETIC HONORS  
OTHER SPORTS PLAYED  
PLEASE CERTIFY THAT YOU ARE A HIGH SCHOOL JUNIOR OR SENIOR, OR ARE A CURRENT COLLEGE STUDENT   Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.