Lindenwood University - Belleville

Belleville Athletics Recruitment Questionnaire

General Information

Date:   E-mail Address (required):

First Name:  MI: Last Name: 

Gender: MaleFemale             Date of Birth: 

Parents Names: 

Street Address: 

City:  State:  Zip Code: 

Country:        Home Telephone: 

Honors, Awards, Activities, Interests: 


Athletic Information

Height:   Weight: 

Vertical Jump:      Bench Press:      Squat: 

Athletic Positions Played (sport,position): 

Previous Coach Information
Coach:   Phone #:   Sport: 
Coach:   Phone #:   Sport: 
Coach:   Phone #:   Sport: 

Do you participate on any non-school related team(s)? Please list them: 

Academic Information

Have you filed an application for admission? Yes  No

Have you filed an application for financial aid? Yes  No

When would you like to begin attending Lindenwood?:


When did/will you finish high school/college?: 

High School/College Name: 

School Address: 

GPA:  SAT:  ACT:  Class Rank: 

Which type of information packet would you like to receive?


Which fields of study are you interested in? (use the ctrl button to select more than one)



 



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Main Phone (636) 239-6000
Main Fax (636) 277-6001