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      Loper Recruiting Questionnaire UNK Track & Field
The UNK Track & Field Coaching Staff would like to hear from you if you are interested in becoming a Loper.

Please use this form to send us information about you.  It is not required to complete all fields, but it would be beneficial if you could provide us with as much information as possible. Your comments will be confidential and stay with the coaching staff.  If you would like a response, please complete the "Name" and "E-mail Address" below.

Use this form in the event that your web browser does not support email, or if  direct links for the coaches do not work with your e-mail handler.

Loper Athletics, ... where YOU make the difference!

Contact Information:

Name
Street address
City
State/Province
Zip/Postal code
Home Phone
E-mail
Date of Birth (as MM/DD/YYYY)
Height (example: 6 ft. 2 in.)
Weight
Father's Name Occupation
Mother's Name Occupation

High School Information:

Name
Street address
City
State/Province
Zip/Postal code
Phone (as 111-222-3333)
Graduation Date  Month Year
SAT/ACT Score
High School Rank percentile or I will graduate
              from top in a class of

    Registered with the Clearinghouse? Yes   No

   Academic Interest(s) in College

High School Coach:

Name
Street address
City
State/Province
Zip/Postal code
Home Phone
E-mail
Varsity Team:

Statistics: 

Senior
Junior
Sophomore
Freshman

Additional Statistics of Interest:

Individual Awards/Honors: (All-State, All-Conference, MVP, Captain, etc.)

Team Honors/Championships: (Regional, State, Conference, etc.)

Other Experience: (number of years, type of team, statistics, coach & phone number, etc.)

Are you interested in participating on any other college teams? If yes, what teams?

How did you hear of the University of Nebraska at Kearney?

Are there any current University of Nebraska at Kearney students you know?

Additional comments or information:

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or
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