Recruiting Questionnaire-mens cycling

Men's Cycling Recruiting Questionnaire

Student Athlete Information

First Name

Middle Name

Last Name

Preferred Name

Email Address

Cell Phone Number:

Home Phone Number:

Mailing Address

Country

Street

City

Region

Postal Code

Birthdate

Entry Term

Student Type

Anticipated Major

Athletic Participation

Discipline

Mtn.

Rd.

Tr.

Height:

Weight:

Critical Power/ Wattage Outputs

20 min.

5 min.

1 min.

15 sec.

Name of High School:

Date of High School Graduation:

Previous College(s) attended:

Date of College Exit/Graduation:

Coach's Name:

Coach's Email:

Team Name:

Link to race results:

Link to race resume:

* At this time, if you do not have a live document (ex. Google Doc) for your race resume, please email your resume to Coach Hall at hallt@lmc.edu.

Other Athletic Achievements

Academic and Eligibility Information

Current GPA:

SAT Score:

ACT Score:

Do you have other SAT/ACT date(s) scheduled?

Yes

Date of test

Have you competed in any other sports?

Yes

Which sport(s)

Additional Academic Achievements & Community Involvement

Family Information

Parent/ Guardian

Parent/Guardian Name:

Parent/Guardian Occupation:

Phone Number:

Additional Parent/ Guardian

Additional Parent/Guardian Name:

Additional Parent/Guardian Occupation:

Phone Number

Additional Information

Any additional information you would like to share.