La Salle - Recruiting

Prospective Student-Athlete Questionnaire

Personal Information
* Full Name:
Street Address:
City:	State: Zip:
* Phone:
** E-mail Address:	* Required ** Optional

Academic Information
High School:
Grad Year:	GPA: SAT:
School Address:
City:	State: Zip:

Athletic Information
Varsity:
Club Team
Who is your coach?:
Coach's phone number?:
What is your height?:	Side:
Tell us about yourself. (eg. event statistical information, scores)