NEWTOWN LACROSSE PLAYER RECRUITING QUESTIONNAIRE Head Coach: Scott Bulkley E-mail: Coachbulkley@gmail.com Primary Contact Number: (914) 715-7928 SECTION 1: CONTACT INFORMATION Player First Name: Player Cell Phone: Fathers Name: Fathers Cell: Fathers E-Mail: Player Last Name: Player E-Mail: Mothers Name: Mothers Cell: Mothers E-mail: Home Phone: Home Address: SECTION 2: ACADEMIC PROFILE Graduation Year: Current GPA: Guidance Counselor: Guidance Counselor Phone Number: Guidance Counselor E-Mail: SAT Math: SAT Reading: SAT Writing: SAT Total (Super Scored): Total ACT: Are you a good standardized test taker: Yes or No Academic Honors:
SECTION 3: ATHLETIC PROFILE Position: Height: Weight: Date of Birth: Strong Hand: Club Team: Club Jersey #: Club Coach Name: Club Coach E-Mail: Club Coach Cell Phone: Highlight Video Available: Yes or No Summer Tournament Schedule: 6) Fall Tournament Schedule: Individual Showcase Schedule: 2
Lacrosse Awards Received: Additional Sports Played: Additional Sports Awards Received: Additional Sports Highlight Video Available: Yes or No Additional Sport Coaches Contact Information: Coach Name: Coach Cell Phone: Coach E-mail: Sport: Level Played: Varsity Junior Varsity Freshman Coach Name: Coach Cell Phone: Coach E-mail: Sport: Level Played: Varsity Junior Varsity Freshman 3
Do you currently play for another sports travel program? Yes or No If so: Sport: Coach Name: Coach Cell Phone: Coach E-mail: Club Program Name: SECTION 4: PARENT PROFILE Fathers Profession: Fathers College (If applicable): Fathers Graduate Education (If Applicable): Did your Father Play a Collegiate or Professional Sport: Yes or No If Applicable, What Sport: Mothers Profession: Mothers College (If applicable): Mothers Graduate Education (If Applicable): Did your Mother Play a Collegiate or Professional Sport: Yes or No If Applicable, What Sport: 4
SECTION 5: RECRUITMENT What collegiate level of play Is your primary focus: Division One Two Three What is your major you intend to study: What size school do you prefer: Have you been contacted by any prospective schools: Yes or No If yes, please list the schools: Have you spoken to your Club Coach on where you fit in at the collegiate level? Yes or No If applicable, what was his professional opinion on your abilities: Have you been on campus for any unofficial or official visits? Yes or No If applicable, Please list the schools: 5
Have you completed any questionnaires for prospective schools: Yes or No How much of a factor is cost of education in your prospective college choice: Very Important Somewhat Important Not a Determining Factor Are you scheduled to attend any upcoming prospect days: Yes or No If applicable, please list where you are scheduled to attend: Have you enlisted any recruitment services or products: Yes or No If applicable, please list the individuals or companies you are working with; What are your five target schools and 10 fallback schools you currently are interested in attending: Target Schools: 6
Fallback Schools 6) 7) 8) 9) 10) Additional information you wish for the coaching staff to know: 7
SECTION 6: ACTIVITIES OUTSIDE OF SPORTS Are you currently involved in any academic or school based clubs: Yes or No If applicable please list the clubs and your role in that activity: Are you currently involved in any community service projects: Yes or No If applicable please list the community service project and your role in that activity: Do you currently have a part time job or additional commitment: Yes or No If applicable please list that commitment and your role in that activity: Is there any additional information you think is important for my staff or me to mention to a prospective college coach about you that was not covered in this section or questionnaire: Yes or No If applicable please list that information: 8