Men's Cross Country
*First Name
Middle Name
*Last Name
Nickname
Date of Birth
*Street Address, City
*State:
*Zip
*Phone:
*Cell Phone:
*Email Address
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
High School Name
*Graduation Year:
High School GPA
High School Rank
High School Counselor's Name
ACT Score
SAT Score
High School Coach's Name
High School Coach's Phone Number
High School Coach's Cell Phone Number
Have you applied to UCCS?
If Yes, When?
Have you been accepted?
Intended Major/Minor:
Have you applied for financial aid?
If Yes, When?
5km XC Personal Best
Location of best mark
Highest State Championship Finish
Height in feet
and inches
Weight in pounds
Career Highlight
Recommended Athlete's Name
Recommended Athlete's Year of Graduation & School
Recommended Athlete's Event
Recommended Athlete's Best Time/Mark
Recommended Athlete's Phone #



* denotes required field
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