California University of Pennsylvania Athletics

Thank you for your interest in California University of Pennsylvania Cross Country. NCAA rules and regulations prohibit coaches from sending letters or electronic mail to high school students until after September 1st of their junior year in high school. This form is not an official university application.

Personal Information
Name: *
Address: *
City: *
State: *
Zip Code: *
Country:
Citizenship:
E-mail: *
Date of Birth:
Social Security Number:
Home Phone Number:
Cell Phone Number:
Father's Name:
Father's Occupation:
Mother's Name:
Mother's Occupation:
Names and Ages of Other Family Members:
Have you applied to Cal U? *	YesNo
Have you applied with the NCAA Clearinghouse? *	YesNo
NCAA Clearinghouse ID Number (if applicable):
Have you applied for Financial Aid with FASFA? *	YesNo
High School Information
Name of High School:
High School Graduation Year: *
Cumulative Grade-Point Average:
SAT Verbal: *
SAT Math: *
SAT Total: *
ACT Score (if applicable):
Academic Honors:
Possible Major at Cal U:
Junior/Previous College Information (If Applicable)
Name of Junior/Previous College:
Total Number Full-Time Semesters:
Cumulative Grade-Point Average:
Total Number of Units Completed:
Date AA Completed:
JC/Previous Coach's Name:
JC/Previous Coach's Phone:
JC/Previous Coach's Email:
Number of Seasons played at JC/Previous School:
Cross Country Athletic Information
Sport you are interest in: *	Men's Cross Country Women's Cross Country
Event: *
Meet:
Date: *
Performance:
Event:
Meet:
Date:
Performance:
Event:
Meet:
Date:
Performance:
Event:
Meet:
Date:
Performance:
Cross Country Coaching Information
High School Coach:
High School Coach's Phone Number:
High School Coach's E-mail Address:
Additional Information
Best Time to Call:
Local Newspaper:
Local Newspaper Website:
Part-time Job/Other Sports Played:
High School Conference:
Other colleges/universities interested in: