Men's Cross Country Information Request Form - Dominican University New York Athletics- Print Version

Thank you for your interest in the DOMINICAN COLLEGE ATHLETICS PROGRAM. Please fill out the following form and click on the submit button at the bottom. The appropriate coach(es) will be in touch very soon.

First Name

M.I.

Last Name

Date of Birth

Email address *

Address 1

City

State

ZIP Code

Telephone (with area code)

Best Time to Call

Mother's Name

Father's Name

High School or Junior College

School Address

School Code

City

State

Zip

Telephone (with area code)

Coach(es)

Telephone(s) (with area code)

Position(s)

Last Season Stats

Last Season Honors

ACT Scores

SAT Scores

Class Rank

Expected Date of Graduation

Grade Point Average

Desired Major

Do you plan to live on campus?

Yes No Undecided

Have you registered with the NCAA Clearinghouse?

Yes No

Questions or Comments? Send us an email at admissions@dc.edu

Please double check your entries to make sure they are correct.

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