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Personal Information
First Name:
Last Name:
Preferred Name:
Address:
City:
State:
Zip:
Birth Date:
Phone:
Pager:
Fax:
Email:
Father's Name:
Occupation:
College Attended:
Mother's Name:
Occupation:
College Attended:
Optional Information
Parents are:
Married
Divorced
Separated
N/A
I live with:
Both
Mother
Father
Estimated Family
Income:
under 30,000
30-40,000
40-50,000
50-60,000
60-70,000
70-80,000
80-100,000
100,000 or above
N/A
Will you apply for Financial Aid:
Yes
No
Scholastic Information
High School
Address:
School Phone:
Counselor:
Intended College
Major:
G.P.A. (4.0 scale):
Class Rank:
Graduation Year:
ACT:
SAT Verbal:
SAT Math:
Do you plan on retaking the ACT or SAT:
Yes
No
Coaches Information
Name:
Home Phone:
College Attended:
General Information
Other College
Choices:
Top 3 Priorities in
choosing a college:
TMC Student or Alumnus you know
Name / Relationship:
Would you like to schedule a campus visit?
Yes
No
Track Event Personal Records
Event
Time
100m
200m
400m
110m Hurdles (men only)
100m Hurdles (women only)
300m Hurdles
400m Hurdles
800m
1,500 meters
1,600 meters
3,000 meters
3,200 meters
5,000 meters
10,000 meters
Steeple Chase
Field Event Personal Records
Event
Distance
High Jump
Long Jump
Triple Jump
Javelin
Discus
Shot Put
Hammer
Weight Throw
Pole Vault
Relay Events
Event
Time
Split
4 x 100 meters
4 x 400 meters
4 x 800 meters