Cross Country Questionnaire *- Required Information 1 Personal Information *First Name: Middle Name: *Last Name: *Address: *City: *State: Please Choose --- Arizona --- Alabama Alaska Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming --- Outside USA *Zip Code: *Phone Number: Best Time to Call: *Email: Date of Birth: 2 Academic Information High School: Coachs Name(s): Coachs Phone Number: GPA: Class Rank/Size: Date of Graduation: ACT Score: Date Taken: SAT Score: Date Taken: Academic Interest: Select more than 1 by holding down the "Ctrl" key on a PC, or the "Command" key on a Mac. Accounting Agriculture Anatomy Animal Behavior Anthropology Apparel Merchan. Art Astronomy Automotive Tech. Biology Botany Business Ceramics Chemistry Child & Family Studies CIS Programs Computer Graphics Consumer Science Counseling Cultural Science Drafting Economics Education Electronics Engineering English Family & Cons. Sci. Fire Sci./EMT Food & Nutrition Foreign Language Future Studies Geology Geography Health & P.E. History Human Genetics Horticulture Interior Design Internat. Bus.. Business International Ed. Justice Studies Library Science Life Science Livestock Mngmnt. Management Manufacturing Marine Biology Marketing Math Mortuary Science Music Network Admin Nursing Organiz. Leadership Painting Pest Control Philosophy Photography Physical Science Psychology Physics Political Science Public Speaking Reading Real Estate Religion Research Methods Salesmanship Sociology Social Science Social Work Speech/Comm Statistics Study Abroad Textiles & Clothing Theatre Welding Academic Honors: (and/or other activities participated in) 3 Athletic Information Height: Weight: Other Sports: Best Performances: (indicate times, distances, marks) Athletic Honors: (Ex. Captain, All-State, MVP, Etc.) Comments:
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