Lecrosse Recruit Questionnaire
EA365 SPORTS
Please know that we will ask you to fill out this form multiple times during the course of your recruiting process. As you acquire more academic information, it is very important that you continue to use the SAME email address throughout the process. If you do change your email, please be sure to email someone on the staff so they can update your profile accordingly before you fill out another online questionnaire. Feel free to continue to update your information as you feel necessary.
General



First Name *


Last Name *


Email Address *


Home Address1 *



City *


State *


Zip *


Home Phone Number *


CellPhone Number *


Date of Birth *




Background


Mother's Name


Mother's Phone Number


Mother's Email Address


Father's Name


Father's Phone Number


Father's Email Address


I am currently living with


Academic


Graduation Year *


High School/College  School Name


Address1


City


State


Zip


Country



HS Phone Number


HS State *


Class Rank


GPA *


SAT Math


SAT Critical Reading


SAT Writing


SAT Total


ACT


AP Course(s) Taken


Intended Major


Other College Choices


Guidance Counselor Name


Guidance Counselor Email


Athletic
                       Position(s) *







Height / Feet / Inch


Weight


40 Yard Dash Time


HS Coach's Name *



Club Team Name *


Club Coach's Cell Phone *


Summer () Lacrosse Events


Fall () Lacrosse Events


Summer () Lacrosse Events


Video Highlight Link


Lacrosse Honors/Awards


Other Varsity Sports and Honors/Awards.
TERMS AND CONDITIONS
E- mail your top 15 school to:  j@ea365sports.com
Select YES are NO Agreement
Yes
No
What Recruiter have you been talking to...
Package
Please select a package
Goalie
Defender
Midfielder
Attack
No
Yes
Jermaine Keyes
Matt Jones 
Ron Hatfield
Michele Walling
Wendell Mitchell
Keith Coburns
Chris Strong
Tiffany Johnson
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