Women's Cross Country Questionnaire

Email Secondary Email

There are errors with your form submission. Please review and submit again

ATHLETE CONTACT INFORMATION

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

DOB:

Parents' Names:

ACADEMIC INFORMATION

High School Attended:

High School Graduation Year *

Grade Point Average:

SAT Scores:

ACT Scores:

College Major:

Have you applied to WVU Potomac State College?

ATHLETIC INFORMATION

Height:

Weight:

High School Coach:

High School Coach Phone Number:

High School Coach Email:

Best Time 5K/Year:

2nd Best Time 5K/Year:

Cross Country Honors:

Please list comments, statistics, and other information, etc.

* required field