USM Athletics Department

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Recruiting Form

We train and compete in the USM Field House. For more information | click here |.

Please fill out the following information and press the SUBMIT button once:
(Note: fields in bold are required.)

PERSONAL INFORMATION

Name:

Nickname:

Address:

City, State, Zip:

e-Mail: Home Telephone:

School name and address:

ACADEMIC INFORMATION

H.S. Graduation Date: Class Rank Approx. H.S. Average

(P)SAT Scores:
Verbal Math Composite Date Taken

Planned College Major (if known):

Guidance Counselor: Telephone

ATHLETIC INFORMATION

Number of seasons of high school competition:
Cross Country Indoor Track Outdoor Track

Top X-C Finishes:

Meet	Place	Time

Indoor Track:

Event	Best Mark

Outdoor Track:

Event	Best Mark

Additional sports competed in at high school varsity level:

Honors and awards:

Track Coach: Phone:

Cross Country Coach: Phone:

If you'd prefer, send e-mail to Coach Towle: athl-wtrack@usm.maine.edu

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