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WOMEN'S LACROSSE: FOR PROSPECTIVE ATHLETES

Please Note: This form is not an official university application. This form is used by the coaching staff to gather interest in the lacrosse program from prospective student-athletes. An online application and admission materials can be gained by visiting www.southwestern.edu/admission-finaid/ or calling 1-800-252-3166.

Personal Information
Last Name
First Name
Middle Name
Preferred Name
Sex Male Female
Street Address
City State
Zip Home Phone Number
E-mail address

Academic Information
High School
Year of Graduation
High School City ,
High School State

Class Rank out of
Grade Point Average on a scale.

Test Scores
SAT: Verbal Math Composite
ACT: Composite
What other colleges are you considering?

Lacrosse Information
Lacrosse Position(s)
Lacrosse Honor(s)
Name of Lacrosse Coach
Telephone Number of Lacrosse Coach

Interest Level
Please state your interest level in playing college lacrosse

Southwestern University

1001 E University

Georgetown, TX 78626

512-863-6511

Fax 512-863-5788