Football Recruiting Application

PERSONAL INFORMATION


Full Name:
Preferred Name:
Street Address
City, State
ZIP
E-mail
Birthdate
Graduation Year
 Planned Walk On Date (Spring/Fall, Year)

Father/Guardian

Full Name:
Street Address
City, State
ZIP
Home Phone
Cell Phone

Mother/Guardian

Full Name:
Street Address
City, State
ZIP
Home Phone
Cell Phone

 

ACADEMIC INFORMATION (HIGH SCHOOL & JUCO)

School Name:
School Address
City, State
ZIP
School Phone
School Fax
Head Coach:
Email:
Cell Phone
Office Phone
Overall GPA
SAT Score
ACT Score

 

ATHLETIC INFORMATION

Height
Weight
40 Yd Time
100m Time
Jersey Number
Position
Offense
Defense
Specialty
Preference
Other Sport Participation
Injuries
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  I give my consent for a copy of my transcript & available test scores to be released to Louisiana Tech University.

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Louisiana Tech University Athletics Mission is to embody excellence in everything we do.

Develop student-athletes to maximize their potential in mind, body and spirit.

Bring pride, admiration and loyalty to the University family, community and state.

Win with integrity.

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Tier 1 National University
#1 In Nation
Least average amount of student debt at graduation - Public National Universities
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    Phone: (318) 257-3631
    Fax: (318) 257-4437
    Email: techtickets@latech.edu
    Mailing Address: PO Box 3046, Ruston, LA 71272
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