Soccer Recruiting Form

Personal Information

First Name: *

Middle Name:

Last Name: *

Address: *

City: *

State: *

Zip Code: *

County:

Country of Residence:

Date of Birth: *

(mm/dd/yyyy)

Home Phone: *

(xxxxxxxxxx)

Cell Phone Number:

(xxxxxxxxxx)

E-Mail Address: *

Best Way to Contact:

If by phone, best time:

Academic Information

High School Graduation Date:

(mm/dd/yyyy)

High School Attended:

High School Address:

High School City/State:

Guidance Counselor:

Class Rank / Size:

Cumulative GPA:

ACT/SAT Score:

Intended Major:

Athletic Information

High School Coach:

High School Coach's Phone Number:

(xxxxxxxxxx)

High School Coach's Email Address:

Club Team Coach:

Club Team Coach's Phone Number:

(xxxxxxxxxx)

Club Team Coach's Email Address:

Primary Position(s):

High School Honors/Awards:

Club Team Honors/Awards:

Other Varsity Sports:

Do you have game videotapes available?:

Yes

No

What are you looking for in a College?:

Questions/Comments: