Front Rush

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General

Legal First Name *

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Preferred Name

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Middle Name

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Last Name *

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Sex *

Male

Female

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Date of Birth

Open the calendar popup.

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Contact Number

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Cell Phone Number

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Email Address *

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Select All of the Best Ways to Contact You

Phone call

Text message

Direct message (social media)

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Home Address 1 *

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Home Address 2

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City *

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State *

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Zip *

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Country

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Graduation Year *

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Entry Term

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Student Type

Freshman

Transfer

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Program: Cross Country and or Track and Field *

Cross Country

Track and Field

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Profile Image

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Background

Parent/Guardian 1 Name

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Parent/Guardian 1 Phone Number

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Parent/Guardian 1 Email Address

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Parent/Guardian 2 Name

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Parent/Guardian 2 Phone Number

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Parent/Guardian 2 Email Address

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Academic

High School

School Name

Address1

Address2

Address3

City

State

Zip

Country

CEEB Code

the school is not listed above

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Class Rank

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GPA

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Transcripts

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Intended Major

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Future Career Goal

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How Did You Hear About Rose-Hulman?

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Athletic

Event(s)

Cross Country

Sprints

Hurdles

Middle Distance (800m or 1,500m/Mile)

Distance (3,000m or 3,000m Steeplechase or 5,000m or 10,000m)

Throws

Horizontal Jumps

Vertical Jumps

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Event #1

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Event #1 Best Performance

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Event #2

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Event #2 Best Performance

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Event #3

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Event #3 Best Performance

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Height

FeetInch

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High School Coach Name

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High School Coach Phone Number

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High School Coach Email

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Anything Else You Want to Tell Us About Yourself?

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Personal Contacts

Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.

First

Last

Main #

Secondary #

Cell #

Questionnaires