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Athletics: Men's Soccer Inquiry

Personal Information

First Name*
First Name
Middle Name
Middle Name (or initial)
Last Name*
Last Name
Address*
Address
Address (2)
Address (2)
City*
City
State*
State
Zip*
Zip
Phone*
Phone
E-mail
E-mail
Birth Date*
Please enter your Birth Date (Month, Date, Year)
Church Demonination
Church Demonination

Family Information

Father's Name
Father's Name
Father's Occupation
Father's Occupation
Mother's Name
Mother's Name
Parent's Marital Status
Married to each other
Divorced
Other
(Optional)
I live with
Both father and mother
Father
Mother
Guardian
(Optional)
List Names and Graduation Years of Younger Siblings
List name, then graduation year

Academic Information

High School*
High School currently attending
Address*
Address
Address (2)
Address (2)
City*
City
State*
State
Zip*
Zip
County*
County
Phone*
Phone
Cumulative GPA
Class Rank
# of #
SAT Math Score
SAT Math Score
SAT Verbal Score
SAT Verbal Score
ACT Score
ACT Score
Graduation Date
Graduation Date
Inteneded College Major
Inteneded College Major

Transfer Information

Are you a transfer student?
Yes
No
If yes, what college?
College Name
Address
Address 1
Address
Address 2
City
City
State
State
Zip Code
Zip Code

Soccer Information

Years Played
Freshman
Sophmore
Junior
Senior

12th Grade

Level
JV
Varsity
Record W/L
Wins/Losses
Positions Played
List Positions
Goals
Goals Scored
Assists
Number of Assists
Saves
Number of Saves
Other
Other Stats

11th Grade

Level
JV
Varsity
Record W/L
Wins/Losses
Positions Played
List Position(s)
Goals
Goals Scored
Assists
Number of Assists
Saves
Number of Saves
Other
Other Stats

10th Grade

Level
JV
Varsity
Record W/L
Wins/Losses
Positions Played
List Position(s)
Goals
Goals Scored
Assists
Number of Assists
Saves
Number of Saves
Other
Other Stats

Soccer Club Information

Club Team
Team Name
Club Position(s)
List Position(s)
Club Coach
Coach's Name
Club Coach's Phone Number
() -
Club Coach's E-Mail
E-Mail Address
Club Tournaments Played In
Upcoming Club Tournaments
Other Soccer Expeirence
Camps, Club Teams, Ect.
Athletic Awards
List Honors/Awards

Head Coach

Coach's Name
Name
Coach's E-Mail
E-Mail Address
Coach's Phone Number
() -