| First Name:* |
|
| Last Name:* |
|
| Email Address:* |
|
| Phone |
|
| Best time to call |
|
| Sex |
|
| Height (ft)* |
|
| Height (in)* |
|
| Weight: |
|
| Street |
|
| City |
|
| Basketball |
|
| Rodeo |
|
| Curling |
|
| Soccer |
|
| Volleyball |
|
| Rowing |
|
| Cross Country Running |
|
| Please have an enrolment officer contact me |
|
| Please have the athletics director call me |
|
| Province: |
|
| Zip_Code |
|
| High School:* |
|
| High School Street: |
|
| High School City |
|
| High School Province: |
|
| High School Postal Code: |
|
| High School Phone: |
|
| High School Fax: |
|
| Your coach's name: |
|
| Your coach's phone number (area code + number): |
|
| Your coach's e-mail: |
|
| Why are you interested in attending Lakeland? |
|
| Career Aspirations: |
|
| Sport of Choice* |
|
| List any athletic and academic awards received: |
|
| Are there any films or videotapes or digital video clips available of you playing? |
|
| If Yes, how can we access this information? |
|
| List any game/season highlights: |
|
| If yes, how can we access this information? |
|
| Name of your local newspaper? |
|
| Name of sport editor or contact: |
|
| Editor Email Address: |
|
| List any provincial/national teams or representative teams that you have played on? |
|
| Basketball: Assists/Game |
|
| Basketball: Other pertinent Information: |
|
| Basketball: Position Played: |
|
| Basketball: Position Preferred |
|
| Basketball: Year Played |
|
| Curling: Awards Received: |
|
| Cross Country Running: Other pertinent information |
|
| Curling: League you compete in |
|
| Curling: Other pertinent Information |
|
| Curling: Position |
|
| Rodeo: Association(s) you compete in |
|
| Rodeo: Event(s) you compete in |
|
| Rodeo: Other pertinent information |
|
| Rowing: Number of years you have rowed |
|
| Rowing: Other pertinent information |
|
| Rowing: What type of rowing have you done |
|
| Running: Normal distance ran in competitions |
|
| Running:Number of years running on competitions |
|
| Volleyball: Aces/game |
|
| Volleyball: Average Digs/Game |
|
| Volleyball: Kills/Game |
|
| Volleyball: Other pertinent Information |
|
| Volleyball: Position Played |
|
| Volleyball: Position Preferred |
|
| Volleyball: Year Played |
|
| Soccer: Average assists per game |
|
| Soccer: Goals per game |
|
| Soccer: Other pertinent information |
|
| Soccer: Position |
|
| Soccer: Years played |
|
| Basketball: Assists/Game |
|
| Basketball: Average Points/Game |
|
| Basketball: Rebounds/Game |
|
| Family Info: City |
|
| Family Info: Name |
|
| Family Info: Phone |
|
| Family Info: Postal Code |
|
| Family Info: Prov |
|
| Family Info: Street |
|
| Other Information |
|
| Do you need more information? |
|
| Please have an enrolment officer contact me |
|
| Please have the athletics director call me |
|
| Local Paper Website: |
|
| Province |
|
| Sport Specific Information - Sports Played |
|
| Sport Specific Information - About Yourself |
|
| This Application is For:* |
|
| What Lakeland program(s) interest you* |
|
|
|