Online Student-Athlete Women's Lacrosse Questionnaire

Date:

Name:
Last: First: MI:

Height: Weight:

Address: City:

State: Zip:

Telephone:

E-MAIL Address:

Second Sport:

Age: Date of Birth:

Social Security #:

High School:

City: State:

Coach: League:

GPA: Class Rank: out of:

Year of Graduation:

Will/Have Visit/ed Date:



ACT Composite Score: English: Mathematics:
(or date to be taken):

SAT Composite Score: Verbal: Math:
(or date to be taken):

Academic Interests/Proposed Majors:




Father's Name:

Occupation:

Mother's Name:

Occupation:

Family Members who are attending,
or who have attended college, and the college they attended:


Will you be applying for financial aid?



Sport Participation:

Sport 1:
Sport:
# of Years:
Post/Evnt:
Coach:
Coach's Phone:


Sport 2:
Sport:
# of Years:
Post/Evnt:
Coach:
Coach's Phone:


Sport 3:
Sport:
# of Years:
Post/Evnt:
Coach:
Coach's Phone:


Sport 4:
Sport:
# of Years:
Post/Evnt:
Coach:
Coach's Phone:


# Years Playing: # of Letters:

Video Tape Available

Athletic Honors Received:


Academic Honors Received:


Additional Information/Comments:






University of Puget Sound Copyright © 2002 Last update: Thursday, October 19, 2006