georgia tech athletics
georgia tech athletics
georgia tech athletics
Update your calendars! The "Great Yellow Jacket Encounter"
will now take place on Saturday, Aug. 8. Callaway Plaza
activities start at 3 pm. Autographs in the stadium from 4-6 pm.

Georgia Tech Track & Field Questionnaire


Name:    Birthdate: 

Home Address (street): 

Home Address (city, state, zip): 

Home Phone No.:   E-Mail: 

Cell Phone No.:   NCAA Eligibility Number: 

Height:     Weight:    Shoe Size:   Social Security Number: 

Father's Name:   Father's Occupation: 

Mother's Name:   Mother's Occupation: 

Father's College:   Mother's College: 

Brother(s) Name:     Age: 

Brother(s) Name:     Age: 

Brother(s) Name:     Age: 

Brother(s) Name:     Age: 

Sister(s) Name:      Age: 

Sister(s) Name:      Age: 

Sister(s) Name:      Age: 

Sister(s) Name:      Age: 

Name of High School: 

School Address (street): 

School Address (city, state, zip): 

Date of Graduation: 


Name of Head Coach:    Coach's Phone No.: 

Date of last College Board test: 
College Board Scores:
ACT: English   Math   Total 
SAT: Verbal    Math   Total 

Present Academic Level:   Grade Point Average:   Class Rank: 

What major have you chosen for your college degree? 

Please list below your best times/distances for all events in which you have competed (no relay splits)
Please indicate what means of timing was used, either hand or fully automatic timing.

Event  Performance  Meet  
Event  Performance  Meet  
Event  Performance  Meet  

Best Performances at your state championships or national level meets.  Please give your place.
   
   
   

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