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UConn Women's Lacrosse Recruiting Form
This information will be emailed to the Women's Lacrosse coaching staff.
Please fill in all required fields which are marked with an asterick.
*
Personal Information
*
First Name:
Middle Name:
*
Last Name:
*
Address:
*
Town:
*
State/Province:
Please Select
Alabama (AL)
Alaska (AK)
American Samoa (AS)
APO/FPO Address (AA)
APO/FPO Address (AE)
APO/FPO Address (AP)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Federation of Micronesia (FM)
Florida (FL)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Marshall Islands (MH)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Northern Mariana Islands (MP)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Palau (PW)
Pennsylvania (PA)
Puerto Rico (PR)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virgin Islands (VI)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland (NF)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NT)
Ontario (ON)
Prince Edward Island (PE)
Quebec (PQ)
Quebec (QC)
Saskatchewan (SK)
Yukon Territory (YT)
US or Canada only
*
Zip:
*
Phone:
Email:
Fax:
*
Graduation Year:
*
High School:
High School Address:
High School Phone #:
High School Website:
Guidance Counselor:
Counselor Phone:
Your Birthday:
Have you registered with the NCAA Clearinghouse?
Yes
No
Mother:
Mom Home Phone:
Mom Work Phone:
Father:
Dad Home Phone:
Dad Work Phone:
Address:
if different from above
Academic Information
SAT Math:
SAT Verbal:
SAT Date:
SAT II:
ACT:
GPA:
Rank:
Possible Major(s):
Have you applied for admission to UConn?
Yes
No
Will you be applying for financial aid?
Yes
No
Are any of your relatives alumni of UConn?
Yes
No
Who?
To what other schools are you applying?
Athletic Information
*
Coach:
Coach Home Phone:
Coach Work Phone:
Position(s):
Right /Left Hand:
Right
Left
Both
Height:
Weight:
Do you have a video tape of you playing lacrosse?
Yes
No
Have you sent us a video tape?
Yes
No
How many years have you played lacrosse?:
Number of years as a varsity starter in high school:
Please list any lacrosse honors and awards that you have received:
Please list any other sports that you play and athletic honors that you have received:
Please list any academic awards and honors that you have received:
When and what lacrosse camps and tournaments have you attended in the past:
2008 Summer Camp and Tournament Schedule:
What lacrosse camps and tournaments will you be attending in the fall of 2008:
2008 US Lacrosse National Tournament Information
Team Name:
Club Jersey Number:
Club Coach Name:
Club Coach Email:
Club Coach Phone:
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