Prospective Athletes
Think you might be interested in playing at Messiah? Complete the form below and we'll be in touch.
* denotes required information.

Personal Information
First and Last Name: *
Street Address: *
City: *
State: *
Telephone: * (e.g., 000-000-0000)
Email Address: *
Parents' Names: *
Date of Birth: (MM/DD/YYYY)
Church currently attending:


Academic Information
High School: *
Graduation Year: *
Approx. GPA: *
SAT/ACT Score:
Level of interest in Messiah College:

 5 (High)
4
3
2
1 (Low)
Major(s) you're interested in:
Other colleges you're considering:


Athletic Information
Level of interest in playing: *

 5 (High)
4
3
2
1 (Low)
Do you have game footage available? *
If yes, please mail to:
Messiah Men's Lacrosse PO Box 4501, 1 College Ave., Grantham, PA 17027 		Yes
No
Height: * (e.g. 5-11)
Weight: * lbs.
Position Played: *
Awards/Honors: *
Relevant Statistics: *
(Please provide as much information as possible, including stats, i.e. goals, assists, ground balls, saves, face-offs, etc.)
High School Head Coach: *
Coach's Phone Number: * (e.g., 000-000-0000)
Coach's Email Address: *
Club Team: * (e.g., 000-000-0000)
Club Team Head Coach: *
Club Coach's Phone Number: * (e.g., 000-000-0000)
Club Coach's Email Address: * (e.g., 000-000-0000)
Any additional questions or comments: