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Student Athlete Questionnaire: Men's Lacrosse

Personal Information:

First Name:*
Middle Name:
Last Name:*
Preferred Name:
Birthdate:* Month
Gender: Male Female
Are you:* a U.S Citizen/Permanent Resident         an International
Citizenship:

Contact Information:

  Home Address:
Address Line1:*
Address Line2: 
City:*
State:* 
Zip:*
Country if outside U.S.
Home Phone:
Cell Phone:
Your E-mail:

Academic Information:

Areas of Academic Interest:
1) 2) 3)
Top 3 College Choices:    
1) 2) 3)
G. P. A. Class Rank: Class Size:
SAT (V): SAT (M): ACT(composite):

High School Information:

High School Name:
High School Phone:
Grad Year:
High School Coach:
High School Coach Phone:
Father’s Name: Wittenberg alumnus?
Mother’s Name: Wittenberg alumnus?
Wittenberg students/alumni that you know:

Financial Information:

Do you plan to apply for financial aid?

Financial aid applicants must complete the Free Application for Federal Student Aid (FAFSA). A Financial Assistance Estimator is also available through the Office of Admission.

Has the FAFSA been completed? Wittenberg's FAFSA code is: 003143

Please send:

Men's Lacrosse Experience/Player Profile

Weight:
Height:
Position:
Right/Left-handed:
       

 

Other Sports:

Club team information:

Team name
Coach's name
Coach's phone #
Coach's E-mail
       

Which tournaments or camps have you attended or dates you are planning on attending camps:

Lacrosse honors: Please list individual or team honors.

Personal assessment: Please list your strengths and areas needing improvement.

Campus Visitation

Have you visited the Wittenberg campus?

Yes
No
If so, When?

 

Do you plan to visit Wittenberg in the near future?

Yes
No
If so, When?

Would you like to meet with the lacrosse coach during your campus visit?

Yes
No

Thank you for filling out this questionnaire and helping us to learn more about you!

 

 

 



 

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