Men's Lacrosse Prospective Player's Questionnaire

Fill out the following information and it will be sent directly to Coach Totaro.

You can then fill out anonline applicationor browse the Missouri Valley College website.

Personal

Name:
Age:
Birthdate:
Home Address:
City:
State:
Zip:
Phone Number:
Cell Phone:
Cell Provider:
Height: Weight
Email Address:
*required
Father's Name:
Father's Phone Number:
Mother's Name:
Mother's Phone Number:

Academic

High School:
GPA
Date of Graduation:
Guidance Counselor:
Counselor's Phone Number:
Class Rank        out of   
Academic Test Taken (ACT/SAT) Score
Academic Area of Interest:

For Transfer Students Only

School:
Phone Number:
School Address:
Will you graduate? Yes No
Date of Graduation:
Hours Completed:
GPA:

General Athletic Information

Other high school sports you paticipated in:
Team Accomplishments:
Individual Honors, Awards, etc.:
Hand L/R:
Jersey #:
Previous Coach's Name, number & E-mail:
Ground Balls:
Goals:
Assists:
Position: