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Women's Track Questionnaire
If you are interested in attending Delaware State University to pursue your undergraduate degree and become a member of the women's track program, please complete the entire questionnaire and we will be in contact with you. Thanks for your interest in Delaware State University

Required Fields in Bold

 
PERSONAL

First Name
 
Last Name
 
Email Address
 
Home Phone
 
Cell Phone
 
Home Address
 
State
 
City
 
Zip Code
 
Father's Name
 
Mother's Name
 
Mothers Occupation
 
Fathers Occupation
 
 
ACADEMIC

High School or Junior College
 
Address
 
Date of Graduation
 
 
Class Rank:
 
GPA
 
SAT Score:
 
ACT Score:
 
Intended Major (if undecided, please put undecided)
 
Have you applied to Delaware State University?
 
Yes
No
Have you registered with the NCAA Clearinghouse?
 
Yes
Yes
If you answered "Yes" insert your NCAA Clearinghouse ID#
 
List Academic Honors:
 
 
ATHLETIC INFORMATION

Junior College or Club Team
 
Upcoming Track Meets:
 
Name of Junior College or Club Team Coach:
 
Coach Phone Number
 
Name of High School Coach:
 
High School Coach Home Phone Number
 
High School Coach Work Phone Number
 
Name of Guidance Counselor/Advisor:
 
Guidance Counselor/Advisor's Home Phone Number
 
Guidance Counselor/Adivsor's Work Phone Number
 
Events:
 
List Your Athletic Achievements:
 
Other Schools You Are Considering:
 
Do You Have A Video Available?
 
Yes
No
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