Prospective Student-Athlete

Baseball Questionnaire

PERSONAL BACKGROUND

First Name: Last Name:
Graduation Date (mm/dd/yy): Email:
Name you go by: Place of Birth:
Area Code: Phone Number:
Street Address: City:
State: Zip:
Date of Birth (Month/Day/Year): Social Security #:
Father's Name: Mother's Name:
Father's Occupation: Mother's Occupation:
Does either of your parents work at Washington University? Yes No

ACADEMIC BACKGROUND (Please list Washington U. as one of the schools to receive your test scores.)

High School High School City:
High School State: High School Zip:
Coach's Name and Email Address: Home Phone:
Counselor's Name and Email Address: School Number:
GPA: /4.0  Scale: Class Rank: / SAT-CR: SAT-M: SAT-W:
ACT Composite: Math: English: Reading: Science: Writing:
Desired Course of Study:
Senior Class Schedule:
Academic Honors:

ATHLETIC BACKGROUND

Height: Weight: Position:
Years on Varsity: Summer Ball?: Yes    No 60 Yard Time:
     
JUNIOR YEAR STATISTICS    
Team Record: No. in Batting Order:  
Batting Avg.:   AB:   R:   H:   RBI:   2B:   3B:   HR:   BB:   SO:   SB:
Wins:   Losses:   IP:   H:   R:   ERA:   BB:   SO:
List Any Baseball Honors or Awards:
List Any Other Sports Played:

Thank you for your time and interest. If you have any other questions please contact:
Ric Lessmann, Head Baseball Coach
Washington University
Campus Box 1067, One Brookings Dr.
St. Louis, MO 63130
Phone: 314/935-5945
Fax: 314/935-5545
Email: lessmann@athletics.wustl.edu