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Yale University Track and Cross Country Prospective Student-Athlete Information Form

NOTE:This form is not an official university application.
This form will be used by the track and cross country staff to help determine prospective student-athletes.
NCAA rules prohibit coaches from contacting freshman and sophomores in high school.

Personal Information

Last Name First Name Middle I.

Country Sex (m/f)

Home Phone Number Email Address Social Security No.

Street Address

City , State Zip

Date of Birth (mo/day/yr) Date of Grad (mo/yr)

Height (ft/in) Weight (lbs)

Ethnic Background (optional)

Non-Athletic Activities

Student Body Officer	Editor, School Publication	Field of Study
Class President	National Honor Society	Other

Academic Information

Class Rank out of

G.P.A.

Test Scores:

SAT:	Date (mo/day/yr)	Critical Reading	Writing	Math
ACT:	Date (mo/day/yr)	Composite
Achievement Scores:

High School Name Year in School (fr/so/ju/sr)

Street

City , State Zip Phone

Guidance Counselor

Athletic Background

Events	Time/Distance	Date/Place	Coach's Name / Tel #

Other Sports	Position	Vars. Letter	Honors

Interest Level

Please select the level that represents your present interest in Yale.

Other Colleges of Interest

Do you intend to apply for financial assistance to attend college (optional). Yes No


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