East Stroudsburg University Lacrosse Recruiting Form
Name
Social Security #
Street Address
City
State
Zip Code
Home Phone
Birthdate (mm/dd/yy)
Height
Weight
Uniform #
Parents/Guardians Names
Occupation
Total Number in Family
E-Mail Address
Academic Information
High School
School Phone
School Address
City
State
Zip Code
Guidance Counselor
Academic Interest
SAT Score-Verbal
SAT Score-Math
ACT Score(s)
Grade Pt. Avg.
Class Rank
Graduation Date
Curriculum Desired in College
Do you Meet NCAA Clearinghouse Eligibility Requirements
YES
NO
Athletic Information
High School Coach
Home Phone
Position(s)
Team Accomplishments
Indvidual Accomplishments
Lacrosse Awards
Camps Attended:
Summer/Fall/Winter Leagues:
Other Sports Participated in
Video Tape Available
Yes
No
Leave Any Comments or Questions for East Stroudsburg Coach Sandy Miller
Lynne Nester, Koehler Fieldhouse, East Stroudsburg University, East Stroudsburg, PA 18301
Office # (570) 422-3101