LYCOMING COLLEGE

Softball 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 Info:

Name: Address:

Academic Interests:

SAT Scores:

Verbal

Math

Written

Date Taken

Date of Graduation

GPA

Class Rank/Total

Athletic Information

High School Coach Info:

Name: Coach's Home Phone: Coach's Office Phone:

Position:

Height:

Positions

Jersey Number:

Batting Avg:

Club Team

Throw (R/L):

Bat (R/L):

Pitching Record

Pitches you can confidently throw

Awards (Captain, All-Conference, etc.)

Friends/Relatives attending or graduates of Lycoming

To ensure the security of this form, please type the following numbers into the text box exactly as they appear: