DARTMOUTH COLLEGE
TRACK & CROSS COUNTRY

PERSONAL INFORMATION

FIRST NAME  
MIDDLE NAME  
LAST NAME  
NICKNAME  
GENDER  
HOME PHONE  
CELL PHONE  
EMAIL  
DOB  
SSN  
HS GRADUATION YEAR  
ADDRESS  
 
CITY  
STATE / PROVINCE  
ZIP / POSTAL CODE  
COUNTRY / REGION  
COUNTRIES OF CITIZENSHIP  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S HOME ADDRESS  
 
CITY  
STATE  
ZIP  
MOTHER'S OCCUPATION  
MOTHER'S BUSINESS ADDRESS  
 
CITY  
STATE  
ZIP  
MOTHER'S WORK PHONE  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S HOME ADDRESS  
 
CITY  
STATE  
ZIP  
FATHER'S OCCUPATION  
FATHER'S BUSINESS ADDRESS  
 
CITY  
STATE  
ZIP  
FATHER'S WORK PHONE  
ARE YOU REGISTERED WITH THE ELIGIBILITY CENTER?  
IF YES, WHAT IS YOUR ELIGIBILITY CENTER ID?  

ACADEMIC INFORMATION

HIGH SCHOOL NAME  

ADDRESS  
 
CITY  
STATE / PROVINCE  
ZIP / POSTAL CODE  
COUNTRY / REGION  
SCHOOL PHONE  
GUIDANCE COUNSELOR'S FIRST NAME  
GUIDANCE COUNSELOR'S LAST NAME  
GUIDANCE COUNSELOR'S WORK PHONE  
INTENDED MAJOR  
GPA  
TYPE  
CLASS RANK  
PSAT MATH  
PSAT VERBAL  
PSAT DATE TAKEN  
ACT TAKEN  
ACT  
ACT DATE TAKEN  
SAT TAKEN  
SAT MATH  
SAT CRITICAL READING  
SAT WRITING  
SAT DATE TAKEN  
SATII SUBJECT TEST (1)  
SATII SUBJECT SCORE  
SATII SUBJECT TEST (2)  
SATII SUBJECT SCORE  
SATII SUBJECT TEST (3)  
SATII SUBJECT SCORE  

SPORT INFORMATION

SPECIALTY  
EVENT 1  
TIME/SCORE EVENT 1 NAME

DATE

EVENT 2  
TIME/SCORE EVENT 2 NAME

DATE

EVENT 3  
TIME/SCORE EVENT 3 NAME

DATE

EVENT 4  
TIME/SCORE EVENT 4 NAME

DATE

PENTATHLON  
HEPTATHLON  
DECATHLON  
HEIGHT  
WEIGHT  
HIGH SCHOOL COACH'S FIRST NAME  
HIGH SCHOOL COACH'S LAST NAME  
HIGH SCHOOL COACH'S EMAIL  
HIGH SCHOOL COACH'S CELL  
HIGH SCHOOL COACH'S PHONE  
 

CLUB TEAM

CLUB  
CLUB COACH'S FIRST NAME  
CLUB COACH'S LAST NAME  
CLUB COACH'S EMAIL  
CLUB COACH'S CELL  
CLUB COACH'S PHONE  

OTHER

 

IF YOU CHOOSE TODAY, WHICH 5 SCHOOLS WOULD YOU VISIT? PLEASE LIST IN ORDER OF TOP PREFERENCES

SCHOOL #1  
SCHOOL #2  
SCHOOL #3  
SCHOOL #4  
SCHOOL #5  
WHAT ARE YOU ATHLETIC AND ACADEMIC GOALS?  
PERSON YOU WOULD CONSULT IN MAKING A DECISION ABOUT THE COLLEGE YOU ATTEND