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Held on November 24, 2003, the combined meet was hosted by the University of Northern Iowa at Irv Warren Golf Course in Waterloo, Iowa, near UNI's campus in Cedar Falls. The distance for the men's race was 10 kilometers (6.21 miles) while the distance for the women's race was 6 kilometers (3.73 miles).
The men's team championship was again won by Stanford (24 points), the Cardinal's second consecutive and fourth overall. This was the second best score in NCAA history and the lowest by a team of entirely American runners. UTEP's 17 point win in 1981 was accomplished with a team of African runners. Stanford placed 6 runners in the top 13 places. The women's team championship was also won by Stanford (120 points), the Cardinal's second and first since 1996. This was the third time that the same university won both team titles; Stanford accomplished this feat in 1996 and Wisconsin captured both in 1985.