Recruiting Information

Thank you for your interest in Long Beach State Athletics. By submitting this recruiting form, you are asking our coaching staff for more information on our program. Once submitted, this form goes directly to our recruiting coordinator. Look in your mailbox over the next few weeks for more information regarding the 49ers. Thanks again for your interest!

Personal Information

Subject

First Name

Middle Name

Last Name

Address

City

State

Zip

Country

Phone Number

Fax Number

E-Mail Address

Date of Birth

SSN (for NCAA purposes)

GPA

SAT/ACT Score

Height

Position

Family Information

Mother's Name

Father's Name

High School Information

High School Name

Graduation Date

High School City

High School Coach

Phone Number

College Information

College Name

Graduation Date

College City

College Coach

Phone Number

Club Information

Club Team Name

Club Coach

Phone Number

Have you ever participated in any USA Developmental Teams or Camps?


Other information you want the coaches to know

FOR MORE INFORMATION
Contact Andy Read
(562) 985-9290

Long Beach State Admissions

NCAA Guide for the College-Bound Student-Athlete