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Men's Cross Country
Interested Recruits Questionnaire
Personal
Graduation Year:
First Name: Last Name:
Street: City:
State: Zip Code:
Country:  
Home Phone (with area code):
Cell Phone (with area code):
Email Address:
Contact Name (if other than student): First and Last Name:
Father's Name: Father's Occupation:
Mother's Name: Mother's Occupation:
Academics
High School: Cumulative GPA:
ACT / SAT Score:
Possible Academic Major:
Athletics
Height (feet, inches):
Weight (pounds):
Event: Time/dist/height:
Event: Time/dist/height:
Event: Time/dist/height:
Event: Time/dist/height:

Honors / Questions / Comments

Contact Information
Heidelberg
Keith Roberts, Head Men's Cross Country Coach
Athletic Department
310 E. Market Street
Tiffin, OH 44883-2462
Telephone: 419-448-2006
krobert3@heidelberg.edu
Heidelberg College | 310 E. Market St. | Tiffin, Ohio 44883-2462 | 1-800-HEIDELBERG | (c) Heidelberg College.