Prospective Recruitment Form

Full Name *

Parent(s)/Guardian(s) Names: *

Date of Birth: *

Cell Phone Number: *

Home Phone Number: *

Email Address: *

Home Address (street, city, state and zip): *

High School (name, city and state): *

High School Graduation Year: *

Position: *

Height: *

High School Coach: *

Club Team and Club Coach *

Lacrosse Statistics- Freshman: *

Lacrosse Statistics- Sophomore: *

Lacrosse Statistics- Junior: *

Lacrosse Statistics- Senior: *

Academic Information- Field of Interest: *

Academic Information- GPA: *

Academic Information- SAT Math, SAT Verbal, ACT: *

Academic or Lacrosse Honors/Awards: *

Other Colleges Applied to: *

Other Sports Played: *

College Family Member(s) Attended: Mother *

College Family Member(s) Attended: Father *

College Family Member(s) Attended: Brother (s) and/or Sister (s) *

Would you like to participate in more than one sport in college? *

Friends or relatives who have attended YSU: *

Additional Comments or Interests: *

Leave this field blank

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.