Student-athlete
Regular Meeting (30 minutes)
Name
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Sport
Baseball
Softball
Men's Basketball
Women's Basketball
Men's Cross Country
Women's Cross Country
Men's Golf
Women's Golf
Men's Soccer
Women's Soccer
Football
Volleyball
Men's Swimming/Diving
Women's Swimming/Diving
Men's Track/Field
Women's Track/Field
Tennis
What is your goal for this meeting?
Please select one or more of the following:
*
Mental Training
Personal Development
Nutrition
Choose your preferred staff member
*
E. Earlynn Lauer
Steve Radlo
Tom Cody
Algerian Hart
Lorri Kanauss
Please enter your availability for the next week. For example, if today is Tuesday, enter your availability for tomorrow (Wednesday), Thursday, Friday and next Monday and Tuesday in the boxes that match the day of the week.
*
Monday
Tuesday
Wednesday
Thursday
Friday
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
While the content of our meetings are generally confidential, coaches or WIU athletics staff may ask if specific athletes are using LEAP. Select "yes" and I will mention we've met if asked. Select "no" and I will not.
*
Yes
No
By using LEAP, you agree to allow LEAP staff members and the LEAP director to potentially communicate about you/your team. This is only to ensure that you have best services possible. Information may also be shared with the University Counseling Center or Beu Health Center if necessary. Please click yes to indicate your understanding and consent.
*
Yes
Submit
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