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Prospective Athlete Questionnaire
 
Personal Information
Name:    
Graduation Year:
Birth Date:
Address:
City:
State:
ZIP:
Email:
Home Phone:
Cell Phone:
 
Mother's Name:
Mother's Occupation:
Mother's Email:
 
Father's Name:
Father's Occupation:
Father's Email:
 
Academic Profile
High School:
City:
State:
 
Junior College:
City:
State:
 
Four Year College:
City:
State:
 
ACT Score:
SAT Score:
GPA Score:
Academic Interest/
Possible Major:
Class Rank:
 
Athletic Profile
Height:
Weight:
Position:
 
Playing Experience
(Years Played):
       Junior High:
                       JV:
              Varsity:
 Junior College:
4-Year College:
 
High School Coach:
Phone:
 
Junior College Coach:
(if applicable)
Phone:
 
Four Year College Coach:
(if applicable)
Phone:
 
AAU / BCI /
Summer League / Club Team:
Coach:
Phone:
 
Statistics
Points Avg.:    
Assists Avg.:
Rebounds Avg.:
Steals Avg.:
FT%:
2 Point FG%:
3 Point FG%:
Athletic Awards/
Honors:
 
List any other
varsity sports
you play:
 
List the two people
who will most likely
influence your
college decision:
 
 
Prospective athletes will need to email their information to the athletics department.
Questions/Comments Go to LCU