Men's Soccer Recruiting Questionnaire

Please be as detailed as possible when answering all questions.

Required Fields in Bold

Expected High School Graduation Date (Mo/ Day/ Yr):

Full Name:

Home Phone:

Cell Phone:

SS#:

Date of Birth (Mo/ Day/ Yr):

Height:

Weight:

Home Address:

E-mail Address:

IM Screen Name:

Father's Name:

Father's E-mail & Occupation:

Mother's Name:

Mother's E-mail & Occupation:

Name of High School:

High School Phone:

Name of Coach:

Coach's Phone Number:

High School Guidance Counselor:

Class Rank:

GPA Jr. Year & Cumulative:

Best Combined SAT/ ACT Score:

Academic Honors:

What other colleges are you considering?

Intended Major:

Will you be applying for financial aid? (select one):
Yes
No

What is your favorite position:

What honors have you earned (all-league, county, state, captain, etc.):

What teams have you played for? (select all that apply):
National Youth Team
Regional Team
Regional Pool
ODP

National Youth Team Age Group & Coach's Phone Number:

Regional Team Age Group & Coach's Phone Number:

Regional Pool Age Group & Coach's Phone Number:

ODP Age Group & Coach's Phone Number:

Club/ Academy Team:

Age Group & Jersey Number:

Name of Coach:

Coach's Phone Number & E-mail: