Lander University Athletics Recruiting Questionnaire

(Fill out and "submit" at bottom of the page)

Sport Interested In  
Name (First, Middle, Last)
Home Address
City, State, Zip Code
Date of Birth
E-Mail Address
Home Phone
Cell Phone
Mother's Name
Mother's Occupation
Father's Name
Father's Occupation
Parents Are (Married, Divorced, Separated, Widowed)  
I live with  
High School Name  
Graduation (Month, Year)  
High School GPA  
SAT Math Score  
SAT Verbal Score  
ACT Score  
Intended College Major  
High School Coach's Name  
H.S. Coaches Phone  
H.S. Coaches E-Mail  
Are you registered with the NCAA Clearinghouse?  
If so, what is your Clearinghouse ID #?  
Height, Weight  
High School Jersey Number  
Club Team Name  
Club Team Coach's Name  
Club Team Coach's Phone  
Club Team Coach's E-Mail  
High School Statistics  
High School Athletic/Academic Awards