Online Recruiting Questionnaire

PERSONAL:

Name:   Last     First    MI
                                                                                                                                      
Street Address:     
City:            State:    Zip:       

Home Phone: E-Mail:

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 2005 2006 2007 2008 2009 2010     

Class Rank:     Grade Point Average:      S.A.T. -  Verbal:  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: