Running Questionnaire
Please fill out this form as closely as you can. Doing so will make it easier for the coaches to provide the best possible advice for you.
First name:
Your answer
Last name:
Your answer
ID#:
Your answer
Augustana email:
(CCID only, eg. glotz)
Your answer
Phone number:
(format ###-###-###, eg., 780-679-1521)
Your answer
Health Care Number/Province
Eg. 42076-8530 AB
Your answer
Parent Name/Address
Eg. John Smith, 9031-56 St, Edmonton AB T6V 1R7
Your answer
Parent Phone Number
Eg. 780-469-6462
Your answer
Degree:
(BA, BSc, BMgt, BMus)
Your answer
Major:
(3 letter acronym, eg., PED, BIO, ENV, MAP, HIS, ENG, RN, MGT, DRA)
Your answer
Year standing in program:
(1,2, 3, or 4)
Your answer
Date of birth
MM
/
DD
/
YYYY
11 Week Term Practice availability - check the times you are available
Required
If you are NOT available at any of the times listed above, explain why with associated practice number:
eg, 2. PHY 110 lab
Your answer
Race availability - check the dates you are available for:
(this only indicates possibilities, and does not commit you to doing these races)
Required
If you are NOT available on any of the dates listed above, explain why with associated race number:
eg, 2. PED xxx out trip
Your answer
How many days per week have you run on average in the last 3 months?
Your answer
How long in minutes was a typical run in the last 3 months?
Your answer
Tell us about your most recent running race
Race name, date, distance, time, placement
Your answer
What is your personal best on a certain distance?
distance - time - year, eg., 5km - 24:54 - 2009
Your answer
What kind of injuries have you had in the past year?
Your answer
Why are you joining the xc running team?
Your answer
What are your goals for xc running this year?
Your answer
How many days per week during the season are you committing to running?
Your answer
Anything else you would like us to know about you?
Your answer
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