CC/Track Questionnaire

The Heidelberg University Cross Country & Track Team(s) wants to get to know you.

General

Program of Interest

Cross Country

Track

HIDDEN Sport Marking

Sex
Your response will not affect your admission decision.

Male

Female

Male (HIDDEN)

Female (HIDDEN)

Legal First Name

Preferred Name

Last Name

Email Address

Country

Street

City

Region

Postal Code

Home Phone Number

Cell Phone Number

Twitter Handle

Date of Birth

Citizenship

Heidelberg Students or Alumni that you know

Parent Information

Mother's First Name

Mother's Last Name

Mother's Occupation

Mother Type (HIDDEN)

Father's First Name

Father's Last Name

Father's Occupation

Father Type (HIDDEN)

Academic

When are you interested in attending Heidelberg?

Type of Undergraduate Student

Recruit Type (HIDDEN)

Market Segment (HIDDEN)

Top Intended Major

High School Name

High School Code (HIDDEN)

High School Type (HIDDEN)

High School Graduation Year

Counselor's Phone

Counselor's Email

Counselor Type (HIDDEN)

GPA

ACT

SAT

Academic Honors

Top College Choice 1

Top College Choice 2

Top College Choice 3

College Type (HIDDEN)

Athletic Information

School Coach First Name

School Coach Last Name

School Coach Phone Number

Coach Type (HIDDEN)

Athletic Honors

5k

6k

8k

10k

1500

55 Meter Dash

60 Meter Dash

100 Meter Dash

200 Meter Dash

400 Meter Dash

800 Meter Run

1600 Meter Run

3200 Meter Run

100 Hurdles

110 Hurdles

300 Hurdles

400 Hurdles

2k Steeple

3k Steeple

High Jump

Long Jump

Triple Jump

Shot

Disc

Javelin

Weight

Hammer

Pole Vault

Personal Contacts

Include any personal contacts you would like to share with this school. These contacts may receive emails, texts or calls for staff at the school.

Please provide their First & Last Name, relation to you, Email, Home & Cell Numbers.

I acknowledge by submitting this form my information is available to this institution.