East Stroudsburg University Track and Field 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)
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 Track & Field Event, Time, and/or Distance
Best Track & Field Event, Time, and/or Distance

Best Track & Field Event, Time, and/or Distance
Best Track & Field Event, Time, and/or Distance

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 Track & Field at East Stoudsburg? Why do you like it?



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