My Iowa LakesLive ChatGive to Iowa Lakes
 
 

Men's Cross Country Recruiting Questionnaire

Cross Country Header

Please complete the following form with all available information. Hit the SUBMIT button at the bottom to electronically submit. If submitting an application by mail, please type or print all answers and mail to address listed at the bottom.

Indicates a Required Field
Last Name:
First Name:
Middle Initial:
Email Address:
Date of Birth:
Phone Number:
Street Address:
City:
State:
Zip:
Country:
Parent/Guardian Name(s):
Time: 1500/1600:
Time: 3000/3200:
Time: 5K:
Time: 10K:
State Meet Qualifications (years & events):
Years Participated in track and events ran:
Years participated in Cross Country:
Most recent cross country season (year):
Coach's Email Address:
Coach's Phone Number:
Athletic Honors Received:
Other Athletic Interests:
Name of your high school:
High school street address:
High school city:
High school state:
High school zip:
Cumulative Grade Point:
Class rank:
ACT Score (if available):
Academic Honors Received:
Graduation Date and Year:
Academic Interest Area(s):
Name / Signature:
Date:
Verification Code:
Questions or comments? Please email us at info@iowalakes.edu or call 712-362-2604 or 800-521-5054.
Copyright © 1996 - 2014 by Iowa Lakes Community College. All rights reserved.