M Soccer Recruits
Please fill out as completely as possible.

Required Fields in Bold

Name:
 
Nickname:
 
Height:
 
Home Address:
 
City:
 
State:
 
Zip Code:
 
Cell Phone:
 
Email Address:
 
Date of Birth: (MM/DD/YYYY)
 
Lives With:
 
Parent(s)
Guardian
Relative
Other
Guardian's Full Name:
 
Guardian's Occupation:
 
Guardian's Alma Mater:
 
Guardian's Work Phone:
 
Guardian's Cell Phone:
 
Brother's/Sister's Names and Ages:
 
Top three deciding factors in choosing a college (i.e. distance, academics, playing time):
 
 
List two other people who will help make your college decision

Name:
 
Relationship:
 
Phone Number:
 
Name:
 
Relationship:
 
Phone Number:
 
 
Academics

High School:
 
High School Phone:
 
High School Address:
 
Guidance Counselor:
 
GPA:
 
Date of Graduation:
 
Have You Signed Up for the NCAA Eligibility Clearinghouse?
 
 
Eligibility ID#
 
PSAT Verbal:
 
PSAT Math:
 
PSAT Date Taken:
 
SAT Verbal:
 
SAT Math:
 
SAT Date Taken:
 
ACT:
 
ACT Date Taken:
 
Intended Field of Study:
 
 
Athletics

HS Coach's Full Name:
 
HS Coach's Home Phone:
 
HS Coach's Work Phone:
 
HS Coach's Cell Phone:
 
Club Team:
 
Club Team Coach's Full Name:
 
Club Team Coach's Home Phone:
 
Club Team Coach's Work Phone:
 
Club Team Coach's Cell Phone:
 
ODP Experience: