Track and Field Questionaire

Duquesne University
Track and Field Questionaire

Personal

First Name:
Last Name:

SSN:
Date of Birth (month/date/year):

Address:

City: State: Zip Code:

Email Address: * required

Phone:

Mother's Name:
Mother's Occupation:

Father's Name:
Father's Occupation:

Duquesne Alumni You Know:
Student Friends at Duquesne:

Academic

High School:

High School Address (City, State, Zip Code):

Year of Graduation:
Class Rank:
GPA:

SAT/ACT Score:

Math:
Verbal:
ACT:

Have you registered with the NCAA Clearinghouse/Eligibility Center?
Yes
No

Have you applied to Duquesne?
Yes
No

Athletic

Height:
Weight:
Additional Sports Played:

Event:
Top Performance:
Date:

Event:
Top Performance:
Date:

Event:
Top Performance:
Date:

High School Coach:
Phone:
Athletic Achievements:

What are your future Track & Field goals?

Why do you want to come to Duquesne?

What other school are you interested in?

Duquesne UniversityTrack and Field Questionaire

Personal

Academic

Athletic

Duquesne University
Track and Field Questionaire