East Stroudsburg University Cross Country Recruiting Form


Date

Name
Social Security #

Name Preferred to be Called
Sex  Male Female

Home Address
City
State
Zip Code

Home Phone
Birthdate (mm/dd/yy)
Height
Weight
Shoe Size

E-Mail Address
Parents/Guardians Names

Number of Siblings (Home)
Siblings at College

Academic Information


High School
School Phone

School Address
City
State
Zip Code

SAT Score-Verbal
SAT Score-Math
ACT Score(s)

Grade Pt. Avg.
Class Rank
Graduation Date

Curriculum Desired in College

Athletic Information


High School Coach
Coach's Phone Num

Have You Completed NCAA Initial-Eligibility Forms?  YES NO

Best Cross Country Event, Time, and/or Distance		 Hilly Flat
Best Cross Country Event, Time, and/or Distance		 Hilly Flat

Best Cross Country Event, Time, and/or Distance		 Hilly Flat
Best Cross Country Event, Time, and/or Distance		 Hilly Flat

Other Awards/Honors Information About Academics/Athletics

Other Sports Participated in
Do You Train Year Round?  Yes No

How many days a week do you train?
How many miles a week do you train?
Would it be possible for you to visit ESU?  Yes No

Why are you Interested in Cross Country at East Stoudsburg? Why do you like it?



Coach Joe Koch, Koehler Fieldhouse, East Stroudsburg University, East Stroudsburg, PA 18301-2999
Office # (570) 422-3054