Men's Soccer Prospective Student-Athlete Questionnaire

First Name 

Last Name 

Address 

City 

State 

Zip Code 

Home Phone 

Cell Phone (optional)  

Email  

Date of Birth 

High School 

High School Graduation (Year)  

High School GPA  

Highest SAT or date to be taken (Reading & Math only) 

Highest ACT or date to be taken 

High School Rank 

Intended College major 

Height 

Weight 

Do you have a recent skills tape or game tape available? (y/n box)  Yes No

High School Coach's Name 

High School Coach's contact (email or phone) 

Primary Position 

Secondary Position 

Primary Hand 

Club Team 

Club Team Coach 

Club Coach's Contact (email or phone) 

Other Varsity Sports Played