FightingIllini.com

The Official Home of University of Illinois Athletics

    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:

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    Contact

    University of Illinois Division of Intercollegiate Athletics

    Bielfeldt Athletic Administration Building
    1700 S. Fourth Street, Champaign, IL 61820
    217-333-3630 | E-Mail Us