Lander University Athletics Questionnaire

Thank you for your interest in Lander University Athletics! Please complete the information below then click Submit.

Student Information

Email Address

Preferred Name

First Name

Middle Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Cell Phone Number

What sport are you interested in?

School Name (currently attending or most recent institution)

High School Graduation Date

High School GPA

ACT/SAT Score

Are you registered with the NCAA Eligibility Center?

Yes

If so, what is your Clearinghouse ID #?

Please share a summary of your recent athletic endeavors (stats, awards, etc.)

Anticipated Start Date

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Parent/Guardian Email Address