Women's Cross Country Questionnaire

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CLEVELAND STATE WOMEN'S CROSS COUNTRY PROGRAM

PROSPECTIVE RUNNER QUESTIONNAIRE

HEAD WOMEN'S CROSS COUNTRY COACH

Brandon Raleigh

braleigh01@clevelandstatecc.edu

(503) 754-7604

ZIP Code *

Email address *

Cell Phone Number *

City *

Address 2 *

Address 1 *

Last name *

State *

First name *

Date of Birth: *

High School: *

High School Graduation Date: *

GPA: *

ACT Score: *

What other sports did you play in High School?

Have you won any awards/achievements?

5K Time: *

1600m Time *

3200m Time *

* required field