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CMU Lacrosse Prospective Student-Athlete Questionnaire

Required Fields in Bold

Name:
 
Graduation Month/Year:
 
Home Phone:
 
Cell Phone:
 
Full Address (Including Street, City, State and ZIP):
 
Email:
 
Mother's Email:
 
Mother's Cell:
 
Father's Email:
 
Father's Cell:
 
Date of Birth:
 
Mother's Name:
 
Father's Name:
 
Mother's Occupation:
 
Father's Occupation:
 
Parents are (Married, Divorced or Other):
 
I live with (Mother, Father or Both):
 
Brothers and Sisters Names & Ages:
 
High School:
 
 
School Phone:
 
Full School Address (Including Street, City, State and ZIP):
 
Guidance Counselor:
 
Possible Majors:
 
PSAT Scores (Verbal & Math):
 
SAT (Verbal & Math):
 
ACT Score:
 
GPA:
 
Class Rank (Including how many are in your class):
 
Are you registered with the NCAA Eligibility Center:
 
What is your interest level (Very High, High, Moderate or Low):
 
What other schools are you currently considering:
 
Primary Position:
 
Other Position Played:
 
Height:
 
Weight:
 
Dominant hand:
 
Club Team:
 
Club Coach & Home/Cell Phone Number:
 
Club Coach Email:
 
High School Coach & Home/Cell Phone Number:
 
High School Coach Email:
 
Club Uniform Number:
 
High School Uniform Number:
 
Website:
 
High School/Club Honors:
 
Verify characters:

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