Cycling Recruiting Questionnaire

The form below is for the use of prospective student athletes who wish to play intercollegiate sports at Lees-McRae College. Please use this form to contact our coaching staff and sports information department.   Note: any information you submit is voluntary and will be kept on file in the Athletic Department. Information will not be sold or released to third parties.

Personal Information

Full Name *
Email address *
Address 1 *
Address 2
State *
ZIP Code *
For address outside the United States, please input your mailing address here:
Home Phone:
Cell Phone:
Preferred Method of Communication *
  Text Message
  Phone Call
Discipline *
Gender *

Academic Information

Name of High School:
Anticipated graduation date: *
Coach's name:
Coach's e-mail:
Club team:
SAT score:
ACT score:
If you plan to retake either test above, indicate which test and when you plan to take it:
High school GPA:
Academic achievements:
List school and community involvement:
Intended field of study or interest:
Previous college(s) attended:
NCAA Eligibility Center ID#:

Family Information

Father's Name:
Mother's Name:

Statistical Information

High school statistics, athletic and academic achievements; list stats and times pertinent to your sport:
List other sports you played in high school:

Complete if your sport has club participation (ODP, AAU, Junior Olympics, etc.)

Club/travel team:
Club coach's name:
Club coach's phone:
Club coach's email:
* = required field