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.

Please be sure to confirm your submission on the next page. Thank you.

Personal Information

Full name (required):
E-mail address (required):
Position: Goalie
Home Address 1:
Home Address 2:
For addresses outside the United States, please input your mailing address here:
Home Phone:
Cell Phone:

Academic Information

Name of high school:
Anticipated graduation date:
Coach's name:
Coach's home phone:
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 acheivements:
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 acheivements; 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 e-mail: