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PROSPECTIVE STUDENT-ATHLETE QUESTIONNAIRE

Interested in joining the Montana State University-Billings Yellowjacket Track & Field and/or Cross-Country teams?  Please complete the following questionnaire and click submit below.

Dave Coppock
Head Coach, Track & Field/Cross-Country
1500 University Drive, Billings, MT  59101
Phone (406) 657-2374  |  Fax (406) 657-2919
 run_msub@hotmail.com

First Name:
Last Name:
Address:
City:
State/Province:
Zip Code:
Home Phone (include area code):
E-mail:
Date of Birth:
Graduation Date (mm/yy):     GPA:    SAT:    ACT:
Have you registered with the NCAA Clearinghouse?    Yes        No
Planned Major:
School:
School Address:
City:
State/Province:
Zip Code:
School Phone:
High School Coach's Name:
High School Coach's Phone:
Father's Name:
Father's Occupation:
Mother's Name:
Mother's Occupation:
Total Siblings:
Total Siblings in College:
Individual Statistics   (i.e. fastest times, best distances, places at major meets, etc.)
List three of your strongest traits as a runner/thrower/jumper:

High School Team Accomplishments:
Other Accomplishments:
Would you like a complete admissions packet with application sent to you?    Yes    No

Personal Comments:

 
General Information (406) 657-2011 or 1(800) 565-6782
New Student Services (406) 657-2888 or 1 (800) 565-6782 x2888
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 © Montana State University Billings 2007