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Mesa State - Grand Junction, Colorado
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Track and Field Recruiting Questionnaire

You may contact Head Coach Gig Leadbetter at
970-248-1194 or gleadbet@mesastate.edu

or

Assistant Coach Katrice Thomas at
970-248- 1135 or kathomas@mesastate.edu

Please fill out the form below.

Personal Information
Name:
City: State:
Year of Birth:
E-Mail Address:
Home Phone:
Cell Phone:
Academics
Academic Standing:
(Fr., So., Jr, Sr., Etc)
School Name
Address
City: State: Zip Code:
Graduation Year: Applied to NCAA Clearinghouse?
Yes No
PSAT: SAT:
ACT: GPA:
Class Rank:
Desired Major:
Counselor's Name:
Academic Honors:
High School/ Junior College Info
Coach's Name:
Coach's Work Phone:
Coach's E-mail:
Track and Field Information
Height: Weight:
Event/ Best Mark: (ie- 100m: 12.83 - Long Jump: 17'5")
Athletic Honors
Top 3 College Choices


(Before submitting this form, please check your contact information to ensure it is correct)

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