Hood College Blazer Cross Country and
Track & Field

Cross Country and Track Questionnaire

Please fill out and submit the questionnaire below. The questionnaire will be submitted to Brent Ayer, Head Cross Country and Track & Field Coach, Hood College, 401 Rosemont Avenue, Frederick, Md. 21701. Items marked with an asterisk (*) must be filled in.

Personal Information
First name:*
Last name:*
E-mail address:*
Phone:*
Address:*
City:*
State:*
ZIP:*
Date of birth:*
Graduation year:*
Parent/Guardian name(s):*
High school name:*
High school address:
High school city:*
High school state:*
High School ZIP:*
Coach:*
Coach's phone:*
Academic Information
Guidance counselor:*
Phone:*
Grade Point Average:*
P.S.A.T. Score Verbal:
P.S.A.T. Score Math:
S.A.T. Score Verbal:
S.A.T. Score Math :
Class Rank :
Anticipated college major:
Academic honors:	List academic honors here
Individual athletic honors:	List individual athletic honors here
Team accomplishments :	List team accomplishments here
Athletic Information
Number of Years Running:*
Varsity Letters Earned (X/C):*
Varsity Letters Earned (Track):*
Best Marks in 400m:*
Best Marks in 1500m:*
Best Marks in 5000m:*
Best Events & Marks:	List Best Marks and Events here
Favorite Track Events:	List favorite track events here
Collegiate Athletic Goals:	List collegiate athletic goals here