Merrimack Men's Cross Country/Track 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:
NCAA Eligiblity ID #:
Date of Birth:
Parents' Names
Parents Email
Father's Occupation
Mother's Occupation

Athletic Information

Height:
Weight:
Coach's Name:
Coach's Phone Number:
Best 400-Meter Time:
Best 800-Meter Time:
Best 1-Mile Time:
Best 2-Mile Time:
Best 5K Time for XC:
Athletic Honors (all-conference, all-state, all-area, etc.):
Desribe your training routine (miles/week; summer mileage):

List any injuries and operations: 


Academic Information

High School Name:
College Name
(if applicable)
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 (critical reading and math):
ACT Score:
Do you intend to apply for financial aid at Merrimack?  Yes   No
Other colleges you are Interested in: