TRACK & FIELD RECRUIT FORM

Potential Student Athletes:
If you are interested in Occidental's Track & Field program, please complete this form.

PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
ADDRESS  
 
CITY  
STATE  
ZIP  
COUNTRY  
TELEPHONE NUMBER (including area code)  
BIRTH DATE  
GRADUATION YEAR  
AGE  
MALE/FEMALE  
EMAIL ADDRESS  
PARENT/GUARDIAN 1 FIRST NAME  
PARENT/GUARDIAN 1 LAST NAME  
PARENT/GUARDIAN 1 EMAIL  
PARENT/GUARDIAN 1 OCCUPATION  
PARENT/GUARDIAN 1 COLLEGE (IF ATTENDED)  
PARENT/GUARDIAN 2 FIRST NAME  
PARENT/GUARDIAN 2 LAST NAME  
PARENT/GUARDIAN 2 EMAIL  
PARENT/GUARDIAN 2 OCCUPATION  
PARENT/GUARDIAN 2 COLLEGE (IF ATTENDED)  
SIBLINGS  

ATHLETIC INFORMATION

HEAD COACH'S FIRST NAME  
HEAD COACH'S LAST NAME  
HEAD COACH'S EMAIL  
ATHLETIC HONORS  
OTHER SPORTS  
EVENT(S)  
 

Please fill out AT LEAST one of the event fields below

100m  
200m  
400m  
800m  
1500m  
1600m  
3000m  
3200m  
5000m  
100m HURDLES  
110m HURDLES  
300m HURDLES  
400m HURDLES  
HIGH JUMP  
LONG JUMP  
TRIPLE JUMP  
POLE VAULT  
SHOT PUT  
DISCUS  
HAMMER THROW  
JAVELIN  
HEPTATHLON/DECATHLON  
MARKS FOR ANY EVENT NOT LISTED ABOVE  

ACADEMIC INFORMATION

HS NAME/COLLEGE  

AREA(S) OF ACADEMIC INTEREST  
LIST COURSES YOU'VE RECEIVED A GRADE C OR LESS  
UNWEIGHTED ACADEMIC GPA  
CLASS RANK (RANK/CLASS SIZE)  
 

If you have not yet taken the ACT or SAT, please type 'Have not taken' in the appropriate box(es)...

ACT COMPOSITE  
SAT TOTAL  
SAT WRITING  
SAT MATH  
SAT CRITICAL READING  
PSAT V  
PSAT M  
PSAT R  
LIST THE COLLEGES OF YOUR CHOICE: (1ST, 2ND, 3RD)  
OCCIDENTAL ALUMNI/STUDENTS KNOWN  
GENERAL COMMENTS OR QUESTIONS  
 

THANK YOU!