Personal Information

Required fields are marked with an asterisk.*

Layout table for form.
First Name*
Last Name*
Name You Prefer to be Called
Address
City
State
ZIP
Height Weight
Position*
Home Phone
Wireless Phone
Email*
Name of Father:
Name of Mother:
High School*: School Phone:
High School Address
City
State
ZIP
Lacrosse Coach:
Your Planned College Major:
You were recommended to the University by:
Capital Students or Alumni you know:

Athletic Participation

Layout table for form
Honors or awards in lacrosse (include letters earned):
Videotape available?
Summer Club Program:
Tournaments Attending:
Other Sports Played:

Layout table for form
Year Graduating:
Class Rank/No. In Class:
Present GPA:
Have you taken your SAT/ACT?
If yes, score? If not, when will you take them?
Guidance Counselor:
Counselor's Phone:
(Please send lacrosse schedule when it is available to: Bill Olin, Men's Lacrosse Coach, Capital University, Columbus, OH 43209-2394)