Women's Soccer Recruiting Questionnaire
Email
Secondary Email
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Email address *
First Name *
Last Name *
Have you been contacted by Converse College Soccer
Yes
No
Date of Birth *
Address *
City *
State *
Zip Code *
Country *
Best Number to be Contacted
Best Days& Time to be Reached
Academic Information
High School
City
State
Current Grade
9th
10th
11th
12th
Transfer
Anticipated Graduation Date (mm/dd/yyyy)
GPA (4.00 Scale)
SAT Score (Math and Reading)
ACT Score
Academic Honors
Intended Major
Athletics Information
Have you registered with the NCAA Eligibility Center
Yes
No
If yes, What was/is your ID Number
Are you currently enrolled, or have you been enrolled in a two or four-year college
Yes
No
If yes, College and Date attended (i.e. Converse College, 01/05/2013)
Height
Position
Primary Foot
Left
Right
Both
Video Available
Yes
No
High School Coach
Please Provide name and phone number
Team and Individual Athletic Honors (Include Year)
Club/ODP Information
Club Team
Location:
Team Website
Club Coach
Coach Phone Number
Coach Email
Team and Individual Athletic Honors (Include Year)
ODP
Yes
No
ODP Coach
ODP Coach Phone Number
Years in ODP
ODP Level
ODP State
Team and Individual Athletic Honors (Include Year)
Schools
Schools Considering
Schools Visited
Submit
* required field