Recruit Questionnaire - Hampden-Sydney Athletics

Personal Information

Name

Last	First	Middle Initial

E-mail:

Cell Phone:

Home Phone:

Street Address:

City:

State:

Zip:

Age: Parents' or Guardians' name:

Parents' occupation
Father: Mother:

College attended by Parents
Father: Mother:

Friends or relatives associated with Hampden-Sydney:

High School Information

High School:

Street Address:

City:

State:

Zip:

Advisor: Office Phone:

College Board Scores
SAT Verbal: SAT Math: SAT Writing: Total: PSAT: ACT:

Rank in Class: of

Cumulative GPA: Year of Graduation:

Check if you will have completed the following courses by graduation:
4 Years English
2 Years Foreign Language
1 year Civics or History
2 Years Algebra
1 Year Biology, Chemistry, or Physics
1 Year Geometry

Anticipated field of study or vocational interest:

What other colleges are you seriously considering?

Lacrosse Information

High School Lacrosse Coach Office Phone:

Address: Home Phone:

City: State: Zip:

Position:
Attack Midfield Defense Goal

Jersey Number:

Height: Weight: 40-yard dash time:

Bench Press lbs.: Squat lbs.:

List specialties you performed:

(faceoff, man-up, man-down)

Statistical Information:
Goals
Assists
Saves
Save Percentage
Ground balls
Faceoff percentage

List honors you received in lacrosse:

Other sports in which you have participated:

Camps/tournaments that you will attend this summer and next fall: