Savannah State University Athletics
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Track & Field/Cross Country Prospective Student-Athlete Form
Personal Information
Name
*
Address
City, State, Zip
Country
Home Phone; Cell Phone
Email
Date of Birth
Social Security Number
Parents' Names
Academic Information
High School / Previous school
school Address
High School Phone
High School Graduation Year
Intended Major
High School GPA; College GPA
SAT Score (verbal and math); ACT Score
Do you plan to take either test again?
Yes
No
If yes, which one and when?
Have you ever applied here?
Yes
No
If yes SSU Student ID #
Have you applied to the NCAA Clearinghouse?
Yes
No
NCAA Clearing-house ID #
Do you intend to apply for financial aid?
Yes
No
Academic Honors
Athletic Information
Height; Weight; Shoe size? (Women list both male and female sizes)
Current Team (if different from high school)
Coach's Name, Phone #
Career Statistics(include personal best times and report times as FAT):
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