Online Recruiting Questionnaire

PERSONAL:

Name: Last    First    MI
                                                                                                                                      
Social Security No.(optional):       

Street Address:     
City:            State:    Zip:       

Home Phone: E-Mail:

Birth Date:

Father's Name:    Occupation:     
Work Phone:

Mother's Name:    Occupation:        
Work Phone:

Sibling(s)/Age(s)

ACADEMIC:

School Name:        School Phone:
 School Address:     
City:            State:    Zip:       

Guidance Counselor:   Counselor Phone:

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

                                                                                                               Writing: ACT -

Date of Graduation: January February March April May June July August September October November December 2005 2006 2007 2008 2009 2010     
Academic majors you are interested in:

Are you registered with the NCAA Clearinghouse? Yes No

ATHLETIC:

Positions Played:  Primary     Secondary    Other

Bat: Right Left   Throw: Right Left                     Height:   Weight:      

H.S. Uniform #:   ASA Uniform #:              

High School Coach's Name:     Coach's Phone:

A.S.A. Team:    
A.S.A. Coach:  A.S.A. Coach's Phone:

Skills Video Available?  Yes No (if yes, please forward as soon as possible)

Other sports played:

MISCELLANEOUS:

What are some of your hobbies and interests?

Have you applied to Lock Haven University?  Yes No   If no, would you like an application?  Yes No

Please rank the schools you are interested in: 
1.
2.
3.

LHU Softball
Head Coach Kelley Green
Assistant Coach: Kelly Shannon
Thomas Fieldhouse
Lock Haven University
Lock Haven, PA 17745
O: (570) 893-2574
F: (570) 893-2414