Lacrosse in the United States is played at the collegiate level in both the club and sanctioned team sport. There are currently 59 NCAA sanctioned Division I men's lacrosse teams, 35 Division II men's lacrosse teams, and 131 Division III men's lacrosse teams. There are also currently 88 Division I women's lacrosse teams, 37 Division II women's lacrosse Teams, and 154 Division III women's lacrosse teams.

Almost 200 collegiate men's club teams compete at the Men's Collegiate Lacrosse Association level, including most major universities in the United States. Another 100 schools have club teams in the National College Lacrosse League. The first U. S.

intercollegiate game was played on November 22, 1877 between New York University and Manhattan College. Lacrosse had been introduced in upstate New York in the 1860s. Lacrosse was further introduced to the Baltimore area in the 1890s.

These two areas continue to be the hotbeds of college lacrosse in the U.S. The first intercollegiate lacrosse tournament was held in 1881, with Harvard beating Princeton, 3-0, in the championship game. From 1934 through 1970 The United States Intercollegiate Lacrosse Association (USILA) awarded the Wingate Memorial Trophy to the NCAA annual champion based on regular season records. Beginning in 1971, the National Collegiate Athletic Association began holding an annual NCAA Men's Lacrosse Championship tournament.

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