Last Name: First Name: Middle Initial: Preferred Name: Social Security Number: NCAA Clearinghouse Registration PIN #:
Street Address: City: State/Country: Zip or Postal Code: Home Phone: Cell Phone: e-mail Address:
Father's Name: Phone Number: Mother's Name: Phone Number: Number of Brothers: Number of Sisters Are you the oldest?: Yes No Are you the youngest?: Yes No Where do you fit?:
Age: Date of Birth(mo/day/yr): Date of HS Graduation: Cumulative HS GPA: Rank in Class: SAT Score: ACT Score: High School: Junior College: HS Coach: Phone Number: JC Coach: Phone Number: Planned Major at BYUH: Career Objectives:
Religious Preference: Are you familiar with the BYUH Honor Code?: YesNo Are you willing to live the BYUH Honor Code as a student at BYUH?: Yes No
Height: Weight:
Best Times (List by distance, time, and date):
Cross Country/Track Experience:
Cross Country/Track Honors:
Academic Honors:
Extracurricular Activities (i.e., student government, leadership, newspaper, etc.---list position and year held):
Rate your coachability on a scale of 1-5 (1=I like to do things on my own; 5=I like to be coached and do everything my coach tells me):
Why are you interested in BYU-Hawaii?:
Colleges you are considering (please rank in order of preference):
How do you feel about living in Hawaii?:
Are you interested in BYU-Hawaii if a cross country scholarship is not available?:
Other Interests and Hobbies:
Comments:
