Interested in Competing?

Thinking about competing in track & field at WPI? Please fill out this form and submit it to have a recruiter contact you. Required fields are marked with an asterisk (*)..

Personal Information

*Name:

*Gender:

*E-mail:

Nickname:

Address:

City:

State:

Zip:

Phone:

Date of Birth:

Mother's Name:

Mother's Occupation:

Mother's College Attended:

Father's Name:

Father's Occupation:

Father's College Attended:

Legal Guardian's Name:

Legal Guardian's Occupation:

Legal Guardian's College Attended:

Parent's Marital Status:

How Many Brothers:

List Name, Ages, College Attended/Attending:

How Many Sisters:

List Name, Ages, College Attended/Attending:

Personal Hobbies/Interests:

School Information

High School:

Graduation Date (mo/yr):

Guidance Counselor:

Desired College Major:

Sr. Math Class:

Sr. Science Class:

High School GPA:

Class Rank:

Choose a Test:

Verbal:

Math:

Writing:

Total:

Do you plan to take another test?

Month of test:

List Any Academic Honors:

Track & Field Information

Head H.S. Coach:

H.S. Coach's Phone:

H.S. Coach’s E-Mail:

Club Team (if applicable):

Club Coach’s Name:

Club Coach’s Phone:

Favorite or Preferred Events:

Please list all known performances:

55/60m (please specify)
100m
200m
400m
500/600m (please specify)
800m
1000m
Mile/1500m (please specify)
2 Mile/3000m (please specify)
5000m
10,000m
100/110HH (please specify)
300/400iH (please specify)

Long Jump
Triple Jump
High Jump

Pole Vault

Javelin
Shot Put
Weight Throw

Hammer
Discus
Pentathlon/Heptathlon/Decathlon/(please specify)

Relay Teams/Splits:

Athletic Awards or Distinctions:

Other Sports Played:

Worcester Cup Champions - 2004, 2006, 2007, 2009

Interested in Competing?

Personal Information

School Information

Track & Field Information

Other Questions