GENERAL:
Name: Date: Social Security No.(optional): Birth Date: Street Address: City: State: Zip: Phone: Cell Phone: E-Mail:
Parents' Names: Occupations:
ACADEMIC:
Graduation Year: 2007 2008 2009 2010 2011 2012 2013 2014
High School:
School Address:
School Phone:
G.P.A. Class Rank of S.A.T. Scores V: M:
Interest of Study at Lock Haven:
Guidance Counselor:
Phone:
Junior College/Other College Attended (if any):
ATHLETIC:
Position:
RT/LT Handed: Height: Weight:
Number of years you have played:
Number of years on high school/prep school varsity team:
Coaches Name(s): Phone:
Statistical Information
Team Record:
Points Per Game: Rebounds Per Game: Assists Per Game:
Camps/Clinics attended (YR, awards):
Other sports you participate in:
List any athletic awards you have received (e.g. MVP, All-Conference, All-Star Teams, etc.):
Tape of skills and/or competitions available? Yes No
LHU Women's Basketball Head coach Jennifer Smith Assistant coaches Jocelyn Duke Thomas Fieldhouse Lock Haven University Lock Haven, PA 17745 O: (570) 484-2818 F: (570) 484-2414