PROSPECTIVE QUESTIONNAIRE :: BASEBALL
PERSONAL:
First Name:
Last Name:
MI:
Street Address:
City:
State:
Home Phone:
E-Mail:
State:
Social Security No.
(optional)
:
Date of Birth:
Father's Name:
Occupation:
Work Phone:
Mother's Name:
Occupation:
Work Phone:
ACADEMIC:
School Name:
School Address:
City:
State:
Zip:
Date of Graduation:
January
February
March
April
May
June
July
August
September
October
November
December
2007
2008
2009
2010
2011
2012
2013
2014
Class Rank:
Grade Point Average:
S.A.T. - Verbal:
Math:
Math:
ACT:
Academic Honors:
Academic majors you are interested in:
Career Goal:
Other Activities/Interests:
Please list other schools you are interested in:
1.
2.
3.
Do you have an application for admission to Lock Haven University?
Yes
No
Have you applied to Lock Haven University?
Yes
No
Have you been accepted to LHU?
Yes
No
I have completed and mailed the NCAA Clearinghouse information to the NCAA.
Yes
No
If 'Yes', what date did you submit your information to the NCAA Clearinghouse?
ATHLETIC:
Position Played:
High School Jersey No:
Height:
Weight:
Bat:
Right
Left
Throw:
Right
Left
Batting Average:
60-YD time:
Fielding Percentage:
Pitchers:
Fast Ball:
mph
Other Pitches:
Best Pitch:
Baseball Honors:
High School Coach's Name:
Coach's Phone:
Skills Video Available?:
Yes
No
LHU Baseball
Head Coach Smokey Stover
Assistant Coach Heath Stover
Thomas Fieldhouse
Lock Haven University
Lock Haven, PA 17745
O: (570) 484-2245
F: (570) 484-2414
PROSPECTIVE
QUESTIONNAIRE :: BASEBALL