KCKCC Men's Soccer Questionnaire
Email
Secondary Email
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Email address *
Personal Information
First Name *
Last Name *
Address *
Address
City *
State *
Zip Code *
Home Phone Number *
Cell Phone Number *
Age *
Birthdate *
Email Address *
Father's Name *
Mother's Name *
School Information
Name of School Presently Attending *
Address *
Address
City *
State *
Zip Code *
ACT Score
SAT Score
GPA *
Year of Graduation *
Counselor's Name *
Counselor's Phone number *
Rank
Date of ACT
Date of SAT
Present Class *
Freshman
Sophomore
Junior
Senior
Soccer Information
Position *
School Coach *
Phone Number *
Club Team
Club Coach
Club Phone Number
Awards in Club Play
Other
Previous College Background
College Transfer From
Address
Address
City
State
Zip
Date of Initial Enrollement
Jersey Number
Coach's Name
Coach's Phone Number
Position Played
Hours Completed
Hours in Progress
Other Information
Recruit Me
Yes
No
Other Sports Participated in and Positions
Honors and Awards
Injuries and Current Status
Please list in order of importance the factors influencing the choice of school to attend
Additional Information or Comments
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