id=1
La Tech Football Recruiting Questionnaire
La Tech Football Recruiting Questionnaire
* denotes required field
 
 
Personal and Family Profile
First Name * Middle Name
Last Name * Preferred Name
Birth Date
Address * City *
State * Zip *
Home Phone Cell Phone
Fax Number Religion
Email
NCAA Id
Personal website
Mother's Name Father's Name
Mother's Employer Father's Employer
Mother's Work phone # Father's Work phone #
Mother's Cell phone # Father's Cell phone #
Mother's Email Father's Email
Mother's Alma Mater Father's Alma Mater
I live with whom? If other:
The names and ages of my siblings are:
Family/friends who attend LA TECH
Family/friends who live near LA TECH
The best way to reach me is (choose one)
Religious Preference:
Facebook * Twitter
 
Athletic Information
off pos1 def pos1
special
squat lift 40 yard
bench 200 meter
vertical 100 meter
clean lift 400 meter
pro agility triple broad
wingspan
Height * ft in Weight *
Jersey Number Other Sports
My online video link is:
 
Academic Information
School State *
Choose your School
If you selected a school, skip school info. If you couldn't find your school, check the checkbox below and enter its data
I couldn't find my School
School Name
School Address
School City School ZIP
School Phone School Fax #
School Website
Counselor's First name Counselor's Last name
Counselor's Number Counselor's Email
Coach's First Name Coach's Last Name
Coach's Work Phone Coach's Home Phone
Coach's Cell Phone
Graduation Year *
 
GPA
Junior College AA Degree Junior College Graduation date
ACT
SAT Verbal SAT Math
SAT Written
Academic Interests
Interest in LA Tech
List your top 4 universities
1.-
2.-
3.-
4.-
Top reasons you will choose a university
1.
2.
3.
who will help you choose a university Cell phone:
 
 
Transcript Release
I authorize the release of my transcript and test scores to LA Tech.