Purdue University Track & Field/Cross Country
Prospective Student-Athlete Questionnaire

 

Track & Field Office
Mackey Arena, Room 2216
900 N. John R. Wooden Dr.
West Lafayette, IN 47907-2070
Phone: 765-494-3852

Lonnie Greene, Head Track & Field/Cross Country Coach
Office: (765) 494-3852
Email: Rolandogreene@purdue.edu
Fax: (765) 496-3400

Assistant Coaches:
Jeff Kent - Distance/Cross Country
Phone: (765) 494-5722 / Email: kent8@purdue.edu

Norbert Elliott - Men's Sprints/Hurdles
Phone: (765) 494-3218 / Email: nbelliott@purdue.edu

Keith McBride - Throws
Phone: (765) 494-3916 / Email: mcbridek@purdue.edu

Chris Huffins - Jumps/Multis
Phone: (765) 494-2549 / Email: chuffins@purdue.edu

Angela Goodman - Sprints/Hurdles/Relays/Recruiting Coordinator
Phone: (765) 496-2995 / Email: goodman8@purdue.edu

Adrian Myers - Supervisor of Operations
Phone: (765) 494-3368 / Email: adrianmyers@purdue.edu

Prospective Student-Athlete Questionnaire Open PDF

* Required field

First Name*

Last Name*

Preferred Name

Date of Birth*

Home Address*

City, State*

ZIP*

Home Phone Number

Cell Phone Number

E-mail*

Family Information

Parent/Guardian's Name

Parent/Guardian's Occupation

Parent/Guardian's Phone Number

College Attended (Parent/Guardian)

Parent/Guardian's Name

Parent/Guardian's Occupation

Parent/Guardian's Phone Number

College Attended (Parent/Guardian)

Siblings (Name, Age, Gender)

Track Athletes

Yes
No

Academics

School*

School Address

School Phone

Advisor/Counselor

Advisor/Counselor Phone Number

G.P.A.*

Class Rank #

Out of

Graduation Date*

SAT Score: Verbal Math

Total Score

Date Taken

ACT Score: Composite Score Date Taken

Are you registered with the NCAA Eligibility Center?

Yes
No

NCAA ID#:

Intended Course of Study

First Day of Fall Semester Classes

Athletics

Height*

Weight*

Other Sports

Coach's Name

Coach's Phone

Events and Top Performances (Indicate Hand or Automatic Times)

Event*Best Performance/Date*
EventBest Performance/Date
EventBest Performance/Date
EventBest Performance/Date

Athletics Honors