WHITTIER
MEN'S & WOMEN'S CROSS COUNTRY

PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
GENDER  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME COUNTRY  
HOME PHONE  
CELL PHONE  
EMAIL  
DATE OF BIRTH  
EXTRACURRICULAR ACTIVITES  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
SIBLINGS  
OTHER SCHOOLS INTERESTED  
ARE YOU REGISTERED WITH THE ELIGIBILITY CENTER?  
IF YES, WHAT IS YOUR ELIGIBILITY CENTER ID?  

ACADEMIC INFORMATION

HS NAME  

GRADUATION YEAR  
HS STATE  
CLASS RANK/SIZE  
GPA/SCALE  
ACT  
SAT TOTAL  
INTENDED MAJOR  

ATHLETIC INFORMATION

HS COACH'S FIRST NAME  
HS COACH'S LAST NAME  
EVENTS  
EVENT 1  
TIME/DISTANCE  
DATE  
EVENT 2  
TIME/DISTANCE  
DATE  
EVENT 3  
TIME/DISTANCE  
DATE  
EVENT 4  
TIME/DISTANCE  
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.