Recruiting Form - University of Memphis Athletics

Recruiting Form

You will be taken back to the main track page after submitting this form.

* = Required field



Contact Information

First Name:*
Last Name:*
E-mail Address:*
Primary Phone:*
Other Phone:
Home Address:*
City:*
State/Province:*
ZIP/Postal Code:*
Country:

Personal Information

SSN:
Date of Birth:*
Age*
Height:*
Weight:*
Shoe Size:
Father's Name:
Father's Occupation:
Father's College:
Mother's Name:
Mother's Occupation:
Mother's College:
# of Brothers at home:
# of Sisters at home:

Academic Information

High School GPA:*		Out Of:*
SAT:		Date Taken:
ACT:		Date Taken:
High School Grad Date:*
Registered with NCAA Clearinghouse?:*	Yes	No
Intended Major:
College(s) Attended: (Please note 2- or 4-year, dates attended, and full- or part-time enrollment)

Athletic Information

Track Club:
Club Coach(es):		Phone:
High School:*
High School Address:*		Phone:*
High School Coach:*		Phone:
Guidance Counselor:		Phone:
Junior College:		Phone:
JC Coach:		Phone:
JC Graduation Date:

Personal Bests

Event:		Performance:
Date:		Meet:	Timing:	Auto Hand

Event:		Performance:
Date:		Meet:	Timing:	Auto Hand

Event:		Performance:
Date:		Meet:	Timing:	Auto Hand

Event:		Performance:
Date:		Meet:	Timing:	Auto Hand

Miscellaneous Information

Most Influential Person in Your Life:
Friends and Relatives Who Attended Memphis:
Top 3 College Choices:
Other Sports Played:
Track & Field Honors & Awards:
What Attracts Your Interest To Memphis?:
Have You Had Any Athletic Injuries?:*	Yes	No
If Yes, Please Describe:
Additional Comments: