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Prospective Student-Athlete Form
If you are interested in competing in track and field and/or cross country for McNeese State University, please complete the following form and submit it to head coach Brendon Gilroy. This form is NOT an official university application. Please be aware that this is not a secure form. Prospective Student-Athletes Please fill in this questionnaire Please fill in as much information as possible.

Required Fields in Bold

 
PERSONAL INFORMATION:

Name (First, M.I., Last)
 
Age
 
Date of Birth
 
Email
 
Ht.
 
Wt.
 
Street Address
 
City:
 
State
 
Zip Code
 
Phone #:
 
Year of Graduation
 
Overall GPA:
 
Core GPA::
 
 
Class Rank:
 
Guidance Counselor's Name:
 
Phone #:
 
Testing - SAT (Math/Verbal/Total):
 
ACT:
 
Registered with NCAA Clearinghouse (Yes/No):
 
PID#
 
High School Name
 
Coach's Name:
 
Street Address:
 
City:
 
State
 
Zip Code
 
Coach's Office Phone#
 
Coach's Home Phone#:
 
 
ATHLETIC EXPERIENCE:

Event
 
Time/Dist.:
 
Date
 
Site:
 
Event
 
Time/Dist.:
 
Date
 
Site:
 
Event
 
Time/Dist.:
 
Date
 
Site:
 

 
 
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