LYCOMING COLLEGE

Men's Lacrosse 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:

Brothers:

Sisters:

Academic Infomation

High School

Date of Graduation

GPA

Class Rank/Total

SAT Scores:

Verbal

Math

Written

Date Taken

ACT Scores:

Date Taken:

Guidance Counselor:

Counselor Phone:

Academic Interests:

Athletic Information

Position:

Height:

Weight:

Years Varsity:

Dominant Hand:

Jersey Number:

Face Off: Yes No

High School Coach Info:

Name: Home Phone: Office Phone:

Awards (Captain, All-Conference, etc.)

Lacrosse Campus Attended

Other sports you want to play in college

College Choices:

1. 2. 3.

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