Mercer University Cross Country Questionnaire
Name ___________________________________________________________
Name of parent(s) / Guardian____________________________________________
Address ________________________________________________________
Phone number(s) home - ___________________________________________
cell - _____________________________________________
E-Mail Address ____________________________________________________
1. Name of High School _____________________________
(Circle classification) - 1A 2A 3A 4A 5A
2. When do you graduate? 20_____
3. Intended Major (Field of Study_________________________________________
4. What are your scores for the: A. SAT
Math _____________ English _____________ Written _____________ B. ACT _____________
5. When did you last take the SAT / ACT? Month _________ Day _________ 20_____
6. Will you test again? Y / N
Date of next testing: Mo. _________ Day _________ 20_____
7. What is your GPA? ____________ Class Rank _________
8. What other schools are you seriously currently considering?________________________________________________
Please give your three best cross country times
#1. ______: ______. ____ Distance ____________
Course ____________________________ Yr. _____
#2 ______: ______. ____ Distance ____________
Course ____________________________ Yr. _____
#3 ______: ______. ____ Distance ____________
Course ____________________________ Yr. _____
Personal Best Track Times (if any)
800m ______: ______. ____
1500m ______: ______. ____
1600m ______: ______. ____
3000m ______: ______. ____
3200m ______: ______. ____
5000m ______: ______. ____
Please send video footage of any race (CD, VHS or DVD)
Please return this questionnaire to:
Head Coach Ryan Bailey
Mercer University
1400 Coleman Avenue
Macon, GA 31207
E-mail: bailey_r@mercer.edu
Phone: (478) 301-2144