Prospective Student-Athlete Questionnaire

* = Required Field
*Sport:
     Men's Basketball       Women's Basketball
     Men's Cross Country and Track       Women's Cross Country and Track
     Men's Golf       Women's Golf
     Men's Ice Hockey       Women's Tennis
     Men's Tennis       Women's Volleyball
        Women's Softball
 
* Full Name:
Date of Birth: (mm/dd/yyyy)
Home Address:
Home City:
Home State/Prov.:
Home Zip/PC:
Home Phone:
Cell Phone:
*Email Address:
NCAA Clearinghouse ID:
 
Father's Name:
Father's Occupation:
Mother's Name:
Mother's Occupation:
 
Weight:
Height:
*Position/Events:
High School Coach:
High School Coach's Phone:
Travel Team Coach:
Travel Team Coach's Phone:
Travel Team/Club Team League:
Statistics/Honors from the Previous/Current Season:
Please List Other Sports You've Played:
Current Team's Website URL:

Scholastic Information

High School:
High School's Division/Class:
High School Principal:
High School Principal's Phone:
Guidance Counselor:
Guidance Counselor's Phone:
*Grade Point Average:
SAT (Verbal) Score:
SAT (Math) Score:
*ACT Score:
Class Rank:  (your rank/class size)
Date of Graduation:  (mm/dd/yyyy)
If you haven't taken the ACT or SAT,
when do you plan to?
 (mm/dd/yyyy)
College Degree/Interest:
Have you taken any college courses for credit?  Yes  No
If yes, please list courses:
 



Lake Superior State University. 650 W. Easterday Ave., Sault Ste. Marie, MI 49783
(906) 632-6841 or Admissions Toll Free at (888) 800-LSSU, Fax: (906) 635-2111