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N.C. A&T Track and Field
Please fill out the following form to have submitted to the North Carolina A&T track and field office.

Required Fields in Bold

 
North Carolina A&T State University Track and Field Profile

Name
 
Social Security#
 
Date
 
Address
 
City
 
State
 
Zip
 
E-mail address
 
Home Phone
 
Birth Date
 
Father's Name
 
Father's Occupation
 
Mother's Name
 
Mother's Occupation
 
#Of Brothers and Ages
 
#Of Sisters and Ages
 
 
Scholastic Record

High School
 
School Phone
 
Address
 
City
 
State
 
Zip
 
Principal's Name
 
Scholastic Average
 
Rank In Class
 
HS ACAD Course
 
College Boards (SAT) Date
 
Verbal
 
Math
 
(ACT) Date
 
Verbal
 
Math
 
Expected Date of Graduation
 
Curriculum or Major Desired In College
 
 
Track and Field

Coach's Name
 
Coach's Cell/Home Phone
 
 
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Senior
 
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