LVC Men's Lacrosse Questionnaire


GENERAL INFORMATION:

First Name:  
Middle Initial:
Last Name:  
Preferred First Name:
Telephone:
Address:  
City:  
State:   Zip:
Date of Birth (mm/dd/yyyy):
Email Address:    
Cell Phone:
IM Screen Name:
Mother/Guardian:
Occupation:
Business Phone:
Father/Guardian:
Occupation:
Business Phone:
Is your parent a graduate of LVC?
Brothers:
Sisters:

ACADEMIC INFORMATION:

Name of High School:
High School Address:
Guidance Counselor:
Guidance Counselor Phone Number:
S.A.T. Scores:
CR:     M:     W:
ACT Score:
Cum. GPA:
Class Rank:
  out of
Please list your academic interest(s) or major field(s) of study:
Date you will graduate from high school:
Month:     Year:

ATHLETIC INFORMATION:

Height:     Weight:
Jersey Number:
Primary Position:
 
Athletic honors attained in lacrosse:
Coach's Name:
E-mail:
Home Phone:
Office Phone:
Anticipated summer camps:
What other high school sports did you play?
What other varsity sports do you want to play in college?
Friends/relatives attending or graduates of Lebanon Valley:
Interest in Lebanon Valley College: