Iowa Lakes Community College

 QUESTIONNAIRE

 
Please complete the following form with all available information. Hit the SUBMIT button at the bottom to electronically submit. If submitting an application by mail, please type or print all answers and mail to address listed at the bottom.

PERSONAL DATA

Legal Name:  Last    First 
Middle Initial
Social Security Number:
Email Address:
Birthdate: 
Mailing Address:   Street 
City      State       Zip 
Phone:

GOLF DATA

Meet Scoring Average: (Last Complete Season) 
Home Course: (Name and City)   
Current Handicap:
Name of your current head coach:  
Home Phone: 
Coach's Email Address: 
Athletic honors received: 

SCHOLASTIC DATA

Name of your High School:   
Cumulative Grade Point:    Class Rank:   
ACT Score: (if available) 
Graduation Date and Year:   
Academic Interest Area(s): 

FAMILY DATA

Mother's Name:  
Address: Street 
City     
State        
Zip 
Telephone #:

Father's Name: 
Address: Street 
City     
State        
Zip   
Telephone #:

Brothers & Sisters: (Names & Ages)

Marital Status of Your Parents
 Married
 Separated
 Divorced
 Deceased

Name/Signature:   Date: 

You may choose to submit this application electronically, or by mail, to:
Dan Soper, Golf Coach
300 South 18th Street
Estherville, IA 51334-2725

 
 

For more information contact Coach Soper at: dsoper@iowalakes.edu

 

Welcome to Iowa Lakes Community College

Copyright © 1996 - 2008 by Iowa Lakes Community College. All rights reserved.
Campuses in Algona, Emmetsburg, Estherville, Spencer and Spirit Lake.
If you would like us to mail you information, please complete this request form. 
Questions or comments? Please email us at info@iowalakes.edu or call (712) 362-2604 or 1-800-521-5054.
Equal Opportunity Statement