If you are interested in playing cross country for Campbell University, please complete the following form. This form is NOT an official University application. You may fill out this form in your web browser and then click the submit button at the bottom of the page.

Required Fields in Bold

First Name

Middle Initial

Last Name

Address

City

State

Home Phone

E-Mail Address

DOB

Grade (Next Yr.)

Year of Graduation

Father's Name

Occupation

Mother's Name

Occupation

Overall GPA

Core GPA

Class Rank

Guidance Counselor's Name

SAT (Math/Verbal/Total)

Guidance Counselor's Phone

Registered with NCAA Clearinghouse

Yes

PID #

High School/Junior College

Coach's Name

Address

City

State

Zip

Coach's Office Phone

If you are a Junior College transfer, will you graduate?

Junior College GPA

Cross Country Experience - Event

Time/Dist

Date

Site

Event

Time/Dist

Date

Site

Event

Time/Dist

Date

Site

3

Do you know anyone who is or has been enrolled at Campbell University?

Have you applied for admission?

Have you visited the campus?