Official Athletic Site of UC Irvine Anteaters

Current time: 12:26 p.m.
Sat July 05, 2008

Track & Field Questionnaire

Dear Prospective Student-Athlete,

Thank you for your interest in UC Irvine Track & Field. We are excited that you are considering becoming a member of the Anteater family and look forward to hearing more about you. Please take the time to fill out the below questionnaire.

General Information
First Name:	Middle Name:
Last Name:
Address:

City:	State:
Country:	Zip/Postal:
Home Phone:	Mobile Phone:
E-mail Address:

Birthdate:	Grad. Date:

Father's Name:	Mother's Name:
Occupation:	Occupation:
Number of Children in Family:

Academic Information
High School
School Name:
Address:

City:	State:
Zip/Postal:
HS Counselor:	Phone Number:
Current Year:
GPA:	Class Rank:

Community College
School Name:
Address:

City:	State:
Zip/Postal:
Current Year:
GPA:	Have you completed your AA degree?

Have you completed the NCAA Clearinghouse form?
Yes No
If yes, when was it submitted?
Total Scores SAT I: Total Scores SAT II:	ACT Scores:

Have you applied to UCI or the UC system?
Have you applied for financial aid?
Have you sent a transcript to UCI?
Would you be interested in visiting UCI?
Best time of the week to contact you?
Prospective Major at UCI?
Other Colleges You Have Applied To?

Athletic Information
Miscellaneous
Height:	Weight:
Right/Left Handed:

High School
Coach's Name:	Phone Number:
Position:

Club/Summer Team
Team Name:
Coach's Name:	Phone Number:
Position:

Community College
School Name:
Coach's Name:	Phone Number:

Questions
1. Please list Event with Best Times/Mark and Year.

2. How long have you been competing in track & field and what other sports you have played?

3. Please list individual honors or awards, team achievements.

2. What events would you like to concentrate on in college?

2. Why are you interested in UC Irvine?

5. Please list any other helpful information