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Soccer Player Questionnaire

Personal Information

Name:   
Mailing Address:
City:    State:    Zip:  Country:
Phone:    Cell Phone:
 E-mail Address: 
Birthday:
Father and Mother's names: 
Father's Occupation:     Mother's Occupation:
Parent's e-mail address:

Academic Information
Current High School         Graduation Year:
High School address:   High School Phone #:
Current GPA:      ACT/SAT:         Class Rank:       Of:
Possible Major(s) in College:
List Academic Achievements:
 

Current Soccer Information
Height:        Weight:    Dominant Foot:
Position(s): 
Formation(s) Played:
H.S. Head Coach:    Phone:
HS Coach's e-mail:
Club Teams:
Club Coach:      Phone: 
Club Coach's e-mail:
Other Sports Played in High School: 
 

Current Soccer Stats
Year of current / last season:    Level of Current / last season:  
Team win-lose record for current / last season:   Goals Scored current / last season: 
Assists current / last season:   Shots current / last season: 
Shot Percentage current / last season:   Yellow Cards current / last season: 
Red Cards current / last season:   Saves current / last season: 
Save Percentage current / last season:   Shutouts current / last season: 
Games Played current / last season:   Games Started current / last season: 
 

Career Soccer Stats
Career win-lose record of teams:      Career goals scored:  
Career Assists:   Career Shots: 
Career Shot Percentage:   Career Yellow Cards: 
Career Red Cards:   Career Saves: 
Career Save Percentage:   Career Shutouts: 
Career Games Played:   Career Games Started: 
Soccer Achievements / Awards:  
 

•• Please send a schedule of high school and/or club team and we will try to come see you play ••

** Consider making a video tape of yourself and you playing to send us, see address below **

•• Get to know the college better at their website - www.wwcc.wy.edu
Get acquainted with the team at our website – www.wwcc.wy.edu/athleticss
 

** Get in contact with Coach Jeff Atkinson phone 307-382-1878
 

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