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Golf - Recruit Me Form

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Student Information

First Name*

Preferred Name

Last Name*

Mailing Address*

Mailing Address*

Country

Street

City

Region

Postal Code

Email Address*

Home Phone*

Cell Phone*

Birthdate*

Birthdate*

Sex*

Sex*

Female

Male

Prefer not to answer

Parent/Guardian #1 Information*

First Name

Last Name

Mobile

Email

Parent/Guardian #2 Information

First Name

Last Name

Mobile

Email

Academic Information

Loras Student Type*

Loras Entry Term (Fall Following High School Graduation Year)*

Entry Term*

High School*

High School

School Phone Number*

Current GPA*

Intended Major*

Interested in Campus Visit?*

Interested in Campus Visit?*

Yes

No

Athletic Information

High School Coach*

Coach's Phone Number*

High School Golf Course Name*

Height*

Feet

Inches

5 Best Tournament Performances*

Average 18 Hole Score*

Average 18 Hole Tournament Score*

Swing Video Available?*

Swing Video Available?*

Yes

No

Video Link:*

Recruit Me For (Please select one)*

Recruit Me For (Please select one)*

Golf Men

Golf Women

Recruit Me for*

Recruit Me for*

Golf Women

Recruit Me for*

Recruit Me for*

Golf Men

LORAS COLLEGE · 1450 Alta Vista Street · Dubuque, IA 52001 · 563.588.7236
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