Athletics

RICE WOMEN'S TRACK AND FIELD QUESTIONNAIRE

Full Name

Graduation Date

Email Address

Home Address

City/State/Zip

Home Phone

Cell Phone

Height

Birth Date

High School Name

High School City/State

Counselor's Name

Counselor's Email

Counselor's Telephone

High School Coach Name

High School Coach Phone

High School Coach Email

Club Affiliation

Club Coach Name

Grade Point Average

Class Rank ___ out of ____

SAT Critical Reading Score

SAT Math Score

ACT Composite Score

Possible Major(s)

NCAA Eligibility Center Number

Scholastic or other awards or honors

Please list your best times in all events and the year attained. Put an "M" for manual timing, "FAT" for fully automatic time and "R" if a relay split. In the box, please list one event, year attained, best time and timing letter on each line. (ex: 100 hurdles, 2015, 10.74, FAT). Possible events: 100 MTS, 200 MTS, 400 MTS, 800 MTS, 1,600 MTS, 3,200 MTS, 5,000 MTS, 100 Hurdles, 300 Hurdles, 400 Hurdles, Long Jump, Pole Vault, High Jump, Triple Jump, Shot Put, Discus, Javelin, Other

Link to Video/Film

Local/State/National Rankings or Honors:

Please describe any injuries or medical conditions that may affect your performance

Parent 1 Name

Parent 1 Email

Parent 1 Phone

Parent 1 Occupation

Parent 2 Name

Parent 2 Email

Parent 2 Phone

Parent 2 Occupation

Verify characters:

Please forward questions and correspondence to:
JIM BEVAN
Head Women's Cross Country/Track & Field Coach
Phone: (281) 924-8698
jbevan@rice.edu
Rice University, P.O. Box 1892-MS 548   Houston, TX 77251-1892
www.riceowls.com
www.facebook.com/WTFXC
www.twitter.com/RiceTFXC

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