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Athletic Questionnaire

Prospective student/athletes
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 We would love to hear from you
The Athletics Department at Lane Community College is always looking for outstanding student/athletes. If you are considering Lane Community College, please take a moment to fill out this short questionnaire, a coach will get back to you. Thank you, Brent Ellison, Director of Student Recreation.

Personal Information

Name
Address
City/State/Zip
Phone
E-Mail
Date of Birth (MM/DD/YY)
Academic Information
High School
City/State
Date Of Graduation (MM/YY)
Enrollment
 GPA/GPA Scale /
SAT Score
Academic Interest 
Academic Honors
Athletic Information
Sport of Intrest
H.S. Coach
Phone
Position/Event
Club Team
Athletic Awards / Stats / Accomplishment
Additional Info
 

 

  
  Athletics | Fitness Education | Student Recreation  
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Lane Community College Athletics Department, Building 5, 4000 East 30th Ave, Eugene, OR 97405
Ph. (541) 463-5215 Questions or comments regarding this website can be directed to ellisonb@lanecc.edu
Revised 11/19/07 (bae) © 1996-present Lane Community College