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Arizona State University Cross Country Profile
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Personal Information
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Date of Birth:
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Last Name:
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First Name:
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Middle Name:
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Phone:
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Best time to call:
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Address:
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City:
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State or Country:
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Zip Code:
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Father's Name:
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Occupation:
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Father's Work Phone:
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Mother's Name:
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Occupation:
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Mother's Work Phone:
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Social Security Number:
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E-Mail Address:
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Academic Information
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High School:
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Month/Year of Graduation:
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High School Address:
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City:
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State or Country:
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Zip Code:
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Junior College Attended (if any):
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Junior College GPA:
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Semester Hours:
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Have you applied for admission to ASU?
Yes
No
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Date:
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Did you request that your test score be sent to ASU? (for the SAT and ACT)?
Yes
No
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Have you taken the SAT?
Yes
No
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Date:
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Verbal Score:
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Math Score:
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Have you taken the PSAT?
Yes
No
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Date:
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Verbal Score:
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Math Score:
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Have you taken the ACT?
Yes
No
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Date:
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Composite Score:
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Class Rank:
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GPA in college prep courses:
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GPA Scale:
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Please list any academic honors received:
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Do you need any additional information or have any questions regarding ASU's academics or the application process?:
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List last semester's courses and grades received:
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List the number of credits or units in each of the following courses that you (will) have upon graduation:
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English- Language:
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Science- General Science, Biology, Chemistry, Physics:
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Mathematics- Algebra I, Algebra II, Geometry, Advanced Math:
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Social Sciences- History, Psychology, Sociology, Philosophy:
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Other Courses:
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Counselor's Name:
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Phone:
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Please list your hobbies and interests outside of cross country:
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What other sports do (did) you participate in during high school? (sport, position, starter?):
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Explain any injury incurred:
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Cross Country Information
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Track
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100
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Time:
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Date:
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200
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Time:
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Date:
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400
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Time:
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Date:
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400 hurdles
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Time:
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Date:
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300 hurdles
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Time:
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Date:
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High hurdles
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Time:
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Date:
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800
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Time:
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Date:
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1500/1600
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Time:
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Date:
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3000/3200
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Time:
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Date:
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5000
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Time:
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Date:
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3K Steeple
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Time:
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Date:
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10,000
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Time:
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Date:
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Field
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Triple Jump
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Distance:
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Date:
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High Jump
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Height:
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Date:
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Long Jump
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Distance:
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Date:
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Shot
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Distance:
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Date:
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Discus
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Distance:
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Date:
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Javelin
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Distance:
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Date:
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Hammer Throw
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Distance:
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Date:
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Pole Vault
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Height:
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Date:
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Decathlon
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Points:
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Date:
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Heptathlon
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Points:
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Date:
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Cross Country
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5K
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Name of Course:
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Time:
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Date:
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3M
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Name of Course:
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Time:
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Date:
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Cross Country Background
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Current Track Club:
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Track Club Address:
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Club Coach:
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Work & Home Phone:
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High School Coach:
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Home & Work Phone:
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When is your high school season?:
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Junior College Coach:
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Home & Work Phone:
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Please list any cross country honors you have received (District, Region, State, National):
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Would you be interested in either one of the following scholarships?
ROTC
Academic
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Please list your top five university choices in order of preference:
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Please give us an idea when you could or could not visit ASU:
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