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Merrimack Men's Cross Country Recruiting Questionnaire
ATTN: Head Coach Chris Cameron
315 Turnpike St.
North Andover, MA 01845

This form is not an official college application.

Personal Information

Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:
Date of Birth:
Parents' Names
Father's Occupation
Mother's Occupation

Academic Information

High School Name:
College Name
(if applicable)
High School Address:
High School Phone:
Guidance Counselor:
Expected High School Graduation Month/Year:
Intended major at Merrimack:
High School Grade-Point Average:
College Grade-Point Average:
(if applicable)
Class Rank: of
SAT Score (verbal and math):
ACT Score:
Do you plan to take either test again? Yes No
If yes, which one and when?
Have you registered with the NCAA Clearinghouse? Yes No
Have you ever applied to Merrimack College? Yes No
Do you intend to apply for financial aid at Merrimack? Yes No
Other colleges you are Interested in:

Athletic Information

Height:
Weight:
Current High School:
Letters Won In This Sport:
Coach's Name:
Coach's Phone Number:
Best 5K Time:
Other Athletic Interests:
Athletic Honors (all-conference, all-state, all-area, etc.):
Desribe your training routine (miles/week; summer mileage):
List any injuries and operations: