Trine University
Women's Lacrosse Questionnaire

Thank you for your interest in the Thunder Women's Lacrosse program.  If and when new personal information changes, please feel free to submit another questionnaire and we will add your new information to our records.

Click the SAVE button below when you have finished.
Please use the TAB key to advance to the next field.
Please be sure to fill out all required fields:
First Name, Last Name, Email, Select School, Graduation Year (e.g. 2016)

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Go Thunder!!


Personal Information
 First  Middle  Last
Your Name:
Preferred Name:
Street Address:
State / Zip:
 Month  Day  Year
Date of Birth:
Email Address:
Home Phone:
Cell Phone:

Parent's Information
Mother's First Name:
Mother's Last Name:
Mother's Address:
Mother's City:
Mother's State / Zip:
Mother's Phone:
Mother's Email:
Father's First Name:
Father's Last Name:
Father's Address:
Father's City:
Father's State / Zip:
Father's Phone:
Father's Email:

Academic Information
Please use the SELECT SCHOOL Button to choose your school.
School Type:
School Name:
School Address:
School City:
School State / Zip:
School Phone #:
School Fax #:
Graduation Year:
SAT Test Date:
SAT Score:
ACT Test Date:
ACT Score:
Anticipated Major:

HS/JC Athletic Info
Coach's First Name:
Coach's Last Name:
Coach's Email:
Coach's Office #:
Coach's Home #:
Coach's Cell #:

Club Athletic Info
Club Team:
Coach's First Name:
Coach's Last Name:
Coach's Office #:
Coach's Home #:
Coach's Cell #:
Coach's Email:

Athletic Stats
Years of Playing:
Link to Video:

When you have completed this questionnaire please click the save button.