W&L MEN'S LACROSSE PROSPECT INFORMATION FORM

Full Name: Street Address:
City: State:
Zip Code:
Home Phone:
Cell Phone:
E-Mail:
Mother's Name:
Mother's Occupation:
Mother's College:
Father's Name:
Father's Occupation:
Father's College:
Siblings (Name/Age/College)
I live with my: Mom Dad Both
High School:
Graduation Date:
School Address:
College Counselor's Name:
Counselor's Phone:
Class Rank (No. and Class)
Grade Point Average:
Field of Interest:
PSAT (M/R/W)
SAT (M/R/W)
PACT (Composite)
ACT (Composite)

SAT II Subject tests (Required by University)

Subject: Score:

Subject: Score:


Coach's Name: Coach's E-Mail
Coach's Work Phone:
Coach's Home Phone:
Height:
Weight:
Jersey Number:
Hand Dominance:
Years Varsity/Started:
Other H.S. Sports:
Play in College?

Yes No

Awards Received:
Positions Played:
Season Stats (G/A/SV%/GAA):
Club Team Name:
Club Team Jersey Number:
Club Coach's Name:
Club Coach's E-Mail:
Club Coach's Work Phone:
W&L Athletes You Know:
W&L Alumni You Know:
Lax Camps You Will Attend:
Other Colleges Considering:
First Choice:
Top Priorities in a College:
Have you visited W&L?:
Yes No
Level of interest in W&L?: High Med Low Are you considering early decision? Yes No    
Need Financial Aid:? Yes No Know Anyone Who has Attended W&L?: Yes No

Additional Comments: