Men's Cross Country, Track & Field
Men's Track and Cross Country Prospective Athlete Questionnaire

Mike Turk, Head Coach
Phone: 217-333-2957
miketurk@illinois.edu
Adrian Wheatley, Sprints/Hurdles Coach
Phone: 217-333-7969
adrianw@illinois.edu
Jake Stewart, Cross Country Coach/Distance Coach
Phone: 217-244-0385
jstewar@illinois.edu

Personal Information

First Name:

Middle Initial:

Last Name:

Home Address (street):

City:

State:

Zip Code:

Email:

Home Phone:

Cell Phone:

Facebook Name:

Instagram Name:

Twitter Name:

Birthdate:

Father's Name:

Father's Occupation:

Mother's Name:

Mother's Occupation:

High School Information

High School:

High School Coach:

High School Coach Phone Number:

High School Coach Email:

Club Coach:

Club Coach Phone Number:

Club Coach Email:

Date of High School Graduation:

GPA:

ACT Composite:

SAT Verbal:

SAT Math:

Class Rank:

Other School Interested In 1:

Reason of Interest 1:

Other School Interested In 2:

Reason of Interest 2:

Other School Interested In 3:

Reason of Interest 3:

Have you applied to Illinois:
Yes
No

If yes, when:

Athlete Information

Primary Event:

Time/Distance:

Date:

Location:

Secondary Event:

Time/Distance:

Date:

Location:

Height:

Weight:

Online Video Links:

HEADLINES