BUCKNELL UNIVERISTY
PROSPECT INFORMATION SHEET
CROSS COUNTRY AND TRACK AND FIELD
PERSONAL INFORMATION
First Name
Middle Name
Last Name
Address
City
State
Zip
Home Phone
Ethnicity
Sex
Male
Female
Birthdate
Age
Height
Weight
Social Security Number
Number of Brothers
Number of Sisters
Number in College
E-mail
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
HIGH SCHOOL INFORMATION
High School Name
High School Address
High School City
High School State
High School Zip
High School Guidance Counselor Name
High School Guidance Counselor Phone
High School Coach(es) Name(s)
High School Coach(es) Phone
Do you know anyone who attends/has attended Bucknell?
Yes
No
If you answered yes, when did they attend?
If you answered yes, what are the names of those you know?
If you answered yes, what is their relationship to you?
PSAT Math Score
PSAT Verbal Score
SAT Math Score
SAT Verbal Score
ACT Score
High School Scholastic Average
Class Rank (approx.)
Date of Graduation
CROSS COUNTRY AND TRACK AND FIELD EXPERIENCE
CROSS COUNTRY
Freshman
Distance
Best Time
Championships Won
Sophomore
Distance
Best Time
Championships Won
Junior
Distance
Best Time
Championships Won
Senior
Distance
Best Time
Championships Won
INDOOR TRACK AND FIELD
Freshman
Distance
Best Time
Championships Won
Sophomore
Distance
Best Time
Championships Won
Junior
Distance
Best Time
Championships Won
Senior
Distance
Best Time
Championships Won
OUTDOOR TRACK AND FIELD
Freshman
Distance
Best Time
Championships Won
Sophomore
Distance
Best Time
Championships Won
Junior
Distance
Best Time
Championships Won
Senior
Distance
Best Time
Championships Won
GENERAL INFORMATION
Have you applied to Bucknell?
Yes
No
Do you intend to apply?
Yes
No
Intended College Major
Do you intend to apply for Financial Aid?
Yes
No
Have you filed a Financial Aid Form?
Yes
No
If you have filed, when?
Other colleges you intend to apply to
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