Men's Soccer Recruiting Questionnaire

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Personal Information

ZIP Code *

Email address *

Cell Phone Number *

City *

Address 1 *

Last name *

State *

First name *

Height

Weight

Date of Birth

Father's Name

Father's Occupation

Father's Email

Mother's Name

Mother's Occupation

Mother's Email

Would you like to visit the campus?

Yes No Already Visited

Scholastic Information

High School

School Phone

Graduation Date

GPA

Class Rank

ACT

SAT

Intended Major

Previous College Information

College Name

GPA

Hours Passed

Years of Eligibility Left

Men's Soccer Information

High School Coach

High School Coach's Phone #

High School Coach's Email

Club Coach's Name

Club Coach's Phone #

Positions Played

Goals Scored

Assists

Club Team Honors/Awards

Athletic and/or Academic Honors/Awards

Questions/Comments

Are game/match tapes available?

Yes No

* required field