Men's Soccer Recruiting Questionnaire

The form below is for the use of prospective student athletes who wish to play intercollegiate sports at Lees-McRae College. Please use this form to contact our coaching staff and sports information department.  Note:  any information you submit is voluntary and will be kept on file in the Athletic Department. Information will not be sold or released to third parties.

Personal Information

Full Name: *
Email address *
Address 1
Address 2
ZIP Code
For addresses outside the United States, please input your mailing address here:
Home phone:
Cell phone:
  Right Back
  Center Back
  Left Back
  Right Midfield
  Center Midfield
  Left Midfield

Academic Information

Name of High School:
Anticipated graduation date:
Coach's name:
Coach's cell phone:
Coach's e-mail:
SAT score:
ACT score:
If you plan to retake either test above, indicate which test and when you plan to retake it:
High School GPA:
Academic achievements:
List school and community involvement:
Intended field of study or interest:
Previous college(s) attended:
NCAA Eligibility Center ID#:

Family Information

Father's Name:
Mother's Name:

Statistical Information

High school statistics, athletic and academic achievements; list stats and times pertinent to your sport:
List other sports you played in high school:

Complete if your sport has club participation (ODP, AAU, Junior Olympics, etc.)

Club/travel team:
Club coach's name:
Club coach's phone:
Club coach's email:
* = required field