Farmingdale State Prospective Student-Athlete Form

Men's Cross Country
Contact Coach Daniela Georgieva for more information - 631-794-6285 or georgid@farmingdale.edu


Please complete the following information and press the Submit button below.

First Name:

M I:

 


Last Name:


Home Address:


City:

State:

Zip:


Country: 

 E-Mail: 


Home Phone:

   Cell Phone: 


Date of Birth:

Age:

 Height:

 Weight:


Social Security #:


High School/College/Club:

Year of Graduation: 


H.S. Coach Name:


Office Phone:

Home Phone:


Grade Point Average:

 


College Board Exam Scores

SAT I: Verbal

Math:

 

ACT: Composite

 

TOEFL:


Have you applied to Farmingdale State?          Yes       No


Intended major:

 


Please indicate any information relative to your athletic performance (i.e., Cross Country Events, Best Performances, Honor/Awards, etc.)

If possible, please forward these items to the address and head coach listed below:

 

         -          Letter of recommendation from your coach

         -          Game Schedules

         -          Video of athletic performance 

         -          Any other information you feel is important to evaluate your athletic performance


Farmingdale State College
Athletics Department
2350 Broadhollow Road � Nold Hall
Farmingdale, New York 11735


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