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: *
(eg. Gerhard)
Last name: *
(eg. Lotz)
ID#: *
(eg. 0976649)
Augustana email: *
(CCID only, eg. glotz)
Phone number: *
(format ###-###-###, eg., 780-679-1521)
Health Care Number/Province *
(eg. 42076-8530 AB)
Parent Name/Address *
Eg. John Smith, 9031-56 St, Edmonton AB T6V 1R7
Parent Phone Number *
(eg. 780-469-6462)
Degree: *
(BA, BSc, BMgt, BMus)
Major: *
(3 letter acronym, eg., PED, BIO, ENV, MAP, HIS, ENG, RN, MGT, DRA)
Year standing in program: *
(1,2, 3, or 4)
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)
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)
How many days per week have you run on average in the last 3 months? *
(eg. 5)
How long in minutes was a typical run in the last 3 months? *
(eg. 45)
Tell us about your most recent running race
(Race name, date, distance, time, placement; eg. UofA Turkey Trot, 12 Oct 1996, 8 km, 26:39, 3rd overall)
What is your personal best on a certain distance?
(distance - time - year, eg., 5km - 18:02 - 2004)
What kind of injuries have you had in the past year?
Why are you joining the xc running team? *
What are your goals for xc running this year?
How many days per week during the season are you committing to running? *
Anything else you would like us to know about you?
Have you completed your PRIVIT information entry? *
Have you completed the Return to Campus Training and uploaded your certificate on PRIVIT? *
Have you viewed the Return to Campus video? *
Have you read the COVID-19 Information for Student Athletes? *
Have you reviewed the COVID Response Pathway? *
Have you completed the CCES Drug Education course and uploaded the certificate on PRIVIT? *
Have you completed the Creating a Campus Community Free of Sexual Violence on-line course and uploaded the certificate on PRIVIT? *
Have you read and signed the CCAA Student-Athlete Consent Form and uploaded it on PRIVIT? *
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