Men's Soccer Recruiting Questionnaire

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Email address *

First name

Last name

Address 1

Address 2

City

State

ZIP Code

Cell Phone Number

Twitter Handle

Instagram Handle

Height

Weight

Date of Birth

Parent/Guardian Name

Parent/Guardian's Phone/Email

Would you like to visit the campus?

Yes No Already Visited

High School

School Phone

Graduation Date

GPA

ACT

SAT

Intended Major

College Name

GPA

Years of Eligibility Left

High School Coach

High School Coach's Phone #

High School Coach's Email

Club Coach Name

Club Coach Phone #

Positions Played

Goals Scored

Assists

Club Teams Honors/Award

Athletic and/or Academic Honors/Awards

Questions/Comments

Are game/match tapes available?

Yes No

* required field