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This form will be submitted directly to Head Coach of Women's Soccer Chris Trudell

PERSONAL INFORMATION
First name: Last name:
Address:

City: State:
Country: Zip:
Phone: ( ) - E-mail:
Mother's Name: Her Occupation:
Father's Name: His Occupation:
    Living With:
ACADEMIC INFORMATION
High school: Grad year:
ACT score: Class rank:
SAT verbal: Class size:
SAT math: GPA:
Possible academic major:

Check to indicate undecided at this time.

ATHLETIC INFORMATION
Height: Weight:
Name of high school soccer coach:
Phone number of high school soccer coach:
Email address of high school soccer coach:
Club team name:
Name of club team soccer coach:
Phone number of club team soccer coach:
Email address of club team soccer coach:
#1 position you see yourself playing in college:
#2 position you see yourself playing in college:
Please list any honors or statistics you earned playing high school soccer: