CCSU
 
WOMEN'S LACROSSE PROSPECTIVE STUDENT-ATHLETE QUESTIONNAIRE

First Name*

Last Name*

 Address

 City  

 State  

 Zip  
 Home Phone
 
 Cell Phone
 
 Email  
 Grad Year
 
 DOB (mm/dd/yyyy)
 
 HS  
 HS Address
 
 HS City
 

 HS State
 

 HS Zip


 GPA

 Class Rank

 SAT (yes/no)
 
 SAT Score
 
 SAT Writing
 
 SAT Reading
 
 SAT Math
 
 ACT (yes/no)
 
 ACT Score
 
 Clearinghouse (yes/no)
 
 Clearinghouse ID
 
 Position  
 Height  
 Weight  
 1.5 mile
 
 40yd
 
 Club Team
 
 Club Team Coach
 
 Club Coach Email
 
 Club Coach Phone
 
 Club Team Jersey #
 
 High School Team
 
 High School Coach
 
 High School Coach Email
 
 High School Coach Phone
 
 High School Jersey #
 
 Tournaments Attending