Sri Lanka 2019 Application
Application for Encore's 2019 Sri Lanka Trip
Email address *
NAME: *
Your answer
PHONE NUMBER: *
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EMAIL: *
Your answer
AGE: *
Your answer
Date of Birth *
Your answer
Graduating Year *
Your answer
SCHOOL: *
Your answer
STATE *
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HOMETOWN: *
Your answer
YEARS PLAYED: *
Your answer
POSITION: *
Your answer
CLUB TEAM (IF APPLICABLE):
Your answer
LIST YOUR COACHES NAME & CONTACT INFORMATION: *
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YOUTUBE LINK OF HIGHLIGHTS (IF APPLICABLE):
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LIST ANY MEDICAL ISSUES: *
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DO YOU HAVE MEDICAL ISSUES THAT WOULD PREVENT YOU FROM TRAINING IN HIGH ALTITUDE (<7,000FT) *
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DO YOU SPEAK SINHALA OR TAMIL? (NOT REQUIRED) *
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HAVE YOU TRAVELED OUTSIDE OF THE UNITED STATES? (NOT REQUIRED) *
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ARE YOU PLANNING ON COMING TO THIS TRIP WITH ANY TEAMMATE? *
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LIST YOUR COMMUNITY SERVICE PROJECTS/HOURS COMPLETED TO DATE: *
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LIST COMMUNITY AWARDS (IF APPLICABLE):
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LIST LACROSSE AWARDS (IF APPLICABLE):
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LIST ACADEMIC AWARDS (IF APPLICABLE):
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WHAT ARE YOUR LACROSSE GOALS FOR THE TRIP? *
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IN 2 PARAGRAPHS, EXPLAIN WHY WHY YOU WANT TO COME ON THIS TRIP: *
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INSTAGRAM HANDLE
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TWITTER HANDLE
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