Recruiting Questionnaire

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You can submit this questionnaire online
or print this page, fill out the form and send it to:
Michael Mulqueen
Head Track Coach
Rutgers, The State University of New Jersey
Louis Brown Athletic Center
83 Rockafeller Road
Piscataway, NJ 08854

First Name: Last Name:	Year of Graduation:
Street:
City: State: Zip:
Home Phone: E-Mail Address
Date of Birth: Height: Weight:
Father's Name: Occupation:
Mother's Name: Occupation:
Emergency Day Phone:
Other Family Members Name: Age: Name: Age: Name: Age:

High School You Attend:

HS Track Coach Name: Coach's Home Phone:

HS Address: Street:

City: State: Zip:

Guidance Counselor:

Major/Courses Desired at Rutgers:

SAT Score: Math Verbal Total
If you have not taken them yet, you will take test on:

Overall GPA Class Rank: out of

Did you register at your high school guidance office for the NCAA Eligibility Clearinghouse?
Yes No (If you did not, you will not be eligible for competition this Fall!)

Track & Field/Cross Country Events	Best Time(s)/Distance	Year




Hobbies/Interests/Outside Activities:
PLEASE INDICATE YOUR INTEREST IN RUTGERS, THE STATE UNIVERSITY:
Very strong, it is my top choice
Strong, it is one of my top five choices
Moderate, interested but nedd more information
Not considering Rutgers, but please send more information
No interest in Rutgers University at all

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