Recruiting Form

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Would you like to be an Eagle? Alice Lloyd College is always on the hunt for the brightest and best student-athletes in our region. If you would like to join our Eagles family, please fill out the Prospective Athlete Form. We’d love to have you come and enjoy your college athletic years here in Pippa Passes!

Email address *

First name *

Last name *

Address 1

City

State

ZIP Code

Cell Phone Number

Father's Name

First and last name

Father's Phone

(###) ### - ####

Father's Email

emailname@emaildomain.com

Father's Occupation

Mother's Name

First and last name

Mother's Phone

(###) ### - ####

Mother's Email

emailname@emaildomain.com

Mother's Occupation

Would you like to visit the campus?

Yes No Already Visited

Scholastic Information

High School

High School Phone

(###) ### - ####

Graduation date

GPA

Class Rank

ACT

SAT

Intended Major

Previous College Information

College Name

GPA

Hours Passed

Years of Eligibility Left

Athletic Information

HS/College Coach Name

First and last name

HS/College Phone

(###) ### - ####

HS/College Email

emailname@emaildomain.com

Sports Played

Position(s)

Athletic and Academic Awards

Questions/Comments

Enter statistics or any additional information you would like the coaching staff to know.

* required field