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USNA Men's Track and Field Questionnaire
United States Naval Academy Track and Field Team Recruitment Questionnaire for Prospective Student Athletes
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High School Graduation Year *
Please list the year in which you are scheduled to graduate High School
Last Name *
First Name *
Phone Number *
Please list the best number in which to contact you
E-mail Address *
Please list your preferred contact e-mail address (include "@" and domain name)
Height
List your height in feet and inches
Weight
List your weight in pounds
Event Area *
Choose your single best event area
Personal Best Official Mark in Primary Event *
(Enter times as 9:99.99, distances and heights in feet and inches as 9'99")
Meet and Date where above mark was achieved:
Secondary Event Area
Choose your second best event area
Personal Best Official Mark in Secondary Event
(Enter times as 9:99.99, distances and heights in feet and inches as 9'99")
Meet and Date where above mark was achieved:
Tertiary Event Area
Choose your third best event area
Personal Best Official Mark in Tertiary Event
(Enter times as 9:99.99, distances and heights in feet and inches as 9'99")
Meet and Date where above mark was achieved:
Street Address/Mailing Address
Please include number, street, apartment, and PO Box if applicable
City
State
ZIP
Date of Birth
(Month, Day, Year)
Father's Name
(Last, First)
Mother's Name
(Last, First)
High School Name
High School City
High School State
High School Counselor's Name
(Last, First - if available)
High School Counselor's Work Phone Number
High School Counselor's Email Address
(include "@" and domain name)
Class Rank
Please include class size (ex. 120 of 345)
GPA
Grade Point Average including scale (ex. 3.65 of 4.00, or 94.5 of 100)
PSAT Reading Score (if you do not have an ACT/SAT score)
PSAT Math Score (if you do not have an ACT/SAT score)
ACT/SAT Math Score
Single part best score
ACT/SAT English/Verbal Score
Single part best score
High School Coach
High School Coach Phone Number
High School Coach's E-Mail Address
(include "@" and domain name)
Please check if you have achieved the following in Track and Field
(check all that apply)
Other Sports Played
Extra Curricular Activities
Preparatory school/College Attended
Academic Majors of Interest
Other colleges you are considering
What is you interest level in being recruited by Navy Track and Field? *
Please select the courses you expect to complete upon graduation from high school
(check all that apply)
Do you wear corrective lenses (glasses/contacts)?
Clear selection
If Yes, please indicate your uncorrected visual examination readings:
(Right eye, Left eye)
With glasses or contact, do your eyes correct to 20/20?
(right eye, left eye)
Do you have any significant allergies?
If so, please list them
To the best of your knowledge, do you have any significant medical problems that may affect your entrance to the Naval Academy?
Navy Men's Track and Field - Patriot League Conference Champions Indoor and Outdoor 2013-2017
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