Cycling Recruit Questionnaire

Please fill out the form below to send a questionnaire to our coaches.

There are errors with your form submission. Please review and submit again.

Please fill out the information below and click submit to send the data to our recruiting coordinator.

Email address *

Full Name: *

Height: *

Weight: *

Discipline: *

Academic Information

High School: *

Year of Graduation: *

Coach's Name: *

Coach's Phone: *

Coach's Email Address: *

SAT Score: *

ACT Score: *

G.P.A.: *

Intended Field of Study:

Contact & Family Information

Home Address: *

City: *

State *

Zip: *

For addresses outside the United States, please input your mailing address here:

Home Phone:

Father's Name:

Father's Occupation:

Mother's Name:

Mother's Occupation:

Statistical Information

Are you currently a USA Cycling license holder:

If so, list what category for each disciplinbe you race:

Achievements and awards in other sports OR academics:

Other colleges/prep schools attended, sports you played, and accomplishments in those sports:

Did other members of your family participate in collegiate or professional athletics? If so, give their names, relations to you, teams, sports, and dates below.

Include interesting facts about yourself that may not fit neatly into other categories. Be innovative!

Warning: Frivolous abuse of this form will result in your IP address being logged, possible blockage from further submissions, and other action deemed necessary by Mars Hill University.

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