Scranton Men's Lacrosse

Please fill out the following questionnaire
Use the TAB key to advance to the next field.

Be sure to fill out all required Fields:
First and Last Name, Email, School, Grad Year (e.g. 2009) 

Click the SUBMIT button below when you're done.
 

 
Personal Information
 
Your Name:
First Middle Last
Preferred Name:
Street Address:
City:
State / Zip:
Date of Birth:
Month Day Year
Email Address:
Home Phone:
Cell Phone:
Fax Number (home or work):
Name of any
Scranton alumni you know:
 
Parent's Information
 
Mother's First Name:
Mother's Last Name:
Mother's Alma Mater:
Mother's Employer:
Mother's Work #:
Mother's Email:
Father's First Name:
Father's Last Name:
Father's Alma Mater:
Father's Employer:
Father's Work #:
Father's Email:
Family members in college and where:
 
Academic Information
 
School Type:
School Name:
School Address:
School City:
School State / Zip:
School Phone #:
School Fax #:
Intended Major:
Minor:
What is your Financial Need?:
ROTC Interest:
Graduation Year:
GPA:
GPA Scale:
(P)SAT:
Math: Verbal: Writing:
Enter Your Senior Classes, Be Sure To Indicate Any AP Or Honors:
 
HS/JC Athletic Info
 
Coach's First Name:
Coach's Last Name:
Coach's Home #:
Coach's Cell #:
Coach's Email:
 
Camps/Tournaments Attended(ing)
 
Camp 1 Year:
Camp:
Team:
Jersey #:
Camp 2 Year:
Camp:
Team:
Jersey #:
Camp 3 Year:
Camp:
Team:
Jersey #:
Camp 4 Year:
Camp:
Team:
Jersey #:
Camp 5 Year:
Camp:
Team:
Jersey #:
Camp 6 Year:
Camp:
Team:
Jersey #:
 
Athletic Stats
 
Position:
Height:
Weight:
40 Time:
Jersey Number:
Other Sports:
Other College's you are 
interested in
(indicate one's you will 
visit with 'V')
Who will assist you in choosing a college?:
Most Recent Season Goals:
Most Recent Season Assists:
Most Recent Season Save/FO %:
Varsity Career Goals:
Varsity Career Assists:
Varsity Career Save/FO %:
Video Available?:
Rank the following (1-5) in order of importance in choosing a
college
Cost:
Acad. Reputation:
Athletics:
Location:
Social:
 

When you have completed this questionnaire please click the submit button.