LYCOMING COLLEGE

Men's Golf Questionnaire

General Infomation

Name:

Email:

Home Address:

City:

State:

Zip code:

Home Phone:

Cell Phone:

Date of Birth:

SS#

Father's Info:

Name:

Occupation:

Bus. Phone:

Mother's Info:

Name:

Occupation:

Bus. Phone:

Academic Infomation

High School

Address:

Academic Interests:

SAT Scores:

Verbal

Math

Written

Date Taken

Class Rank/Total

GPA

Date of Graduation

Athletic Information

Home Course:

Handicap :

Tourney Avg.

Low 18 Total

Low 9 Total

Driving Distance

5 iron

High School Coach Info:

Name: Home Phone: Office Phone:

Awards (Captain, All-Conference, etc.)

Other sports you want to play in college

Friends/Relatives attending or graduates of Lycoming

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