Lackawanna College Golf

PROSPECTIVE GOLFER QUESTIONAIRE :

Thank you for your interest in Lackawanna College; please take the time to print and complete the form below. Please mail completed forms to address listed on bottom and a coach will contact you additional information .

Player Name: _____________________________________ Date of Birth________________

Address______________________________________________________________________

City___________________________________ State ____________Zip Code______________

Phone #_______________________ Expected H.S. Graduation Date: _______

Email address (for coaches use only)_______________________________________________

 

ACADEMIC INFORMATION :

 

SCHOOL: ________GPA: _______/_______ CLASS RANK:

 

SCHOOL NAME & ADDRESS: __________________________

Street _______________________City________________________ State_____Zip Code________

 

ACADEMIC HONORS: ___________________________________________________________________

INTENDED MAJOR: ________________ SAT: / ______ ACT:

Math Verbal

TERM AND YEAR YOU PLAN TO BEGIN COLLEGE___________________________________________

HAVE YOU APPLIED TO LACKAWANNA COLLEGE ? YES___________ NO____________

HAVE YOU ATTENDED ANOTHER COLLEGE (if yes please list college and dates attended)

______________________________ ______________________________ _________________________

 

ATHLETIC INFORMATION:

 

SPORT (S) PARTICIPATED IN :

 

HS COACH'S NAME: ____________________HS COACH'S HOME PHONE: ( ____ ) -________________

 

HS COACH'S SCHOOL PHONE ______________________HS COACH'S E- MAIL____________________

 

NAME/LOCATION OF HOME COURSE: _____________________________________________________

 

Golf Awards & Accomplishments (please list below):

Q: Why do wish to play golf at Lackawanna College? (i.e. play competitively & transfer, gain experience

Q: What are your plans after graduating from Lackawanna College (academic, and/or professional)?

Q: Strength(s) of your golf game:

Q: Weakness (s) of your golf game:

PRINT OUT AND MAIL COMPLETED FORM TO : MR. PATRICK A. LLOYD, HEAD GOLF COACH, LACKAWANNA COLLEGE , 501 VINE STREET , SCRANTON , PA 18509

Patrick A. Lloyd Brian Fruehan

Head Golf Coach Assistant Golf Coach

1-267-872-4009 1-570-499-2708

Palloyd127@cs.com Frugolf@adelphia.net