GEORGIA STATE UNIVERSITY
TRACK & CROSS COUNTRY

PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
GENDER  
ADDRESS  
 
CITY  
STATE OR PROVINCE  
ZIP OR POSTCAL CODE  
HOME COUNTRY  
HOME PHONE  
CELL PHONE  
EMAIL  
DATE OF BIRTH  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S WORK PHONE  
MOTHER'S CELL  
MOTHER'S ALMA MATER  
MOTHER'S OCCUPATION  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S WORK PHONE  
FATHER'S CELL  
FATHER'S ALMA MATER  
FATHER'S OCCUPATION  
SIBLINGS & AGES  
FRIENDS/RELATIVES WHO ATTENDED GEORGIA STATE  
ADDITIONAL UNIVERSITIES YOU ARE CONSIDERING  
WILL YOU APPLY FOR NON-ATHLETIC AID?  
ARE YOU REGISTERED WITH THE ELIGIBILITY CENTER?  
IF YES, WHAT IS YOUR ELIGIBILITY CENTER ID?  

ACADEMIC INFORMATION

GRADUATION YEAR  
HS NAME  

HS ADDRESS  
 
HS CITY  
HS STATE  
ZIP  
HS PHONE  
CLASS RANK  
GRADE POINT AVERAGE  
ACT  
SAT MATH  
SAT VERBAL  
INTENDED MAJOR  
GUIDANCE COUNSELOR'S FIRST NAME  
GUIDANCE COUNSELOR'S LAST NAME  
GUIDANCE COUNSELOR'S EMAIL  
GUIDANCE COUNSELOR'S WORK PHONE  

ATHLETIC INFORMATION

HS COACH'S FIRST NAME  
HS COACH'S LAST NAME  
HS COACH'S EMAIL  
HS COACH'S CELL PHONE  
HS COACH'S WORK PHONE  
EVENTS  
HEIGHT  
WEIGHT  
ATHLETIC HONORS  
OTHER SPORTS PLAYED  
 

EVENT 1

NAME  
TIME/DISTANCE/HEIGHT  
DATE  
MEET  
 

EVENT 2

NAME  
TIME/DISTANCE/HEIGHT  
DATE  
MEET  
 

EVENT 3

NAME  
TIME/DISTANCE/HEIGHT  
DATE  
MEET  
 

EVENT 4

NAME  
TIME/DISTANCE/HEIGHT  
DATE  
MEET  
 

EVENT 5

NAME  
TIME/DISTANCE/HEIGHT  
DATE  
MEET  
 

EVENT 6

NAME  
TIME/DISTANCE/HEIGHT  
DATE  
MEET  
 

EVENT 7

NAME  
TIME/DISTANCE/HEIGHT  
DATE  
MEET  
 

EVENT 8

NAME  
TIME/DISTANCE/HEIGHT  
DATE  
MEET  
 

STATE QUALIFICATIONS

STATE QUALIFIER  
FINALIST  
EVENT(S)  
FINISH  
 

CLUB TEAM

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