Prospective Student-Athlete Questionnaire
MEN'S LACROSSE
2006 NCAA Division III National Champions


First Name*:
Last Name*:
Date of Birth:
Age:
E-mail Address*:
Home Phone*:
Cell Phone:
Street Address:
City:
State:  Zip Code:
Name(s) of Parent or Guardian:
Occupation:
Family/Friends/Alumni you know who attend(ed) Cortland:


ACADEMIC
High School:
Street Address:
City:
State:  Zip Code:
School Phone:
Guidance Counselor:
Are you taking a college prep curriculum?:
Present Grade:
College(s) Attended:
Year of Next Graduation*:
SAT: (math)   (writing)   (critical reading)
ACT:
Grade Point Average:
Class Rank (XX out of XXX):
Have you applied for admissions to Cortland?:
If yes, Date of Application:
Intended Major:
Is Cortland your:
College Choice #1:
College Choice #2:
College Choice #3:


ATHLETIC
Height: ft inches
Weight:

Position:

# of Years Played:
Jersey Number:
Dominant Hand:

High School Coach Name:
Coach's Home Phone:
Coach's Work Phone:
Coach's Email:

Club Coach Name:
Club Coach's Home Phone:
Club Coach's Work Phone:
Club Coach's Email:
Other Sports You Compete in:
Individual Athletic/Academic Honors Won:
Activities/Hobbies (non-sports):
List any serious injuries:

Do you plan to visit?
Best Way to Contact You?