Kansas Wesleyan University :: Athletics :: Soccer :: Online Recruiting Form

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Online Questionnaire

PERSONAL INFORMATION
Today's Date: Please use MM/DD/YYYY format
First Name: Middle Name: Last Name:
Address: City: State: Zip: Country:
Home Phone:		Cell Phone:
Email:		Birthdate:
Gender: Male Female


ACADEMIC INFORMATION
School Type: High School Junior College		Intended Major:
School Name:		School Phone:
GPA:
FOR HIGH SCHOOL STUDENTS ACT Score: SAT Score: -- VERBAL: MATH:
I have not taken the ACT yet, but I plan to take it on the following date:
I have not taken the SAT yet, but I plan to take it on the following date:
Graduation Date:	Class Rank: of
Counselor's Name:		Clubs, Leadership and volunteer work:
FOR JUNIOR COLLEGE STUDENTS
Number of Hours Passed:		Years of Eligibility left:

PARENT INFORMATION
Father's Name First: Last:		Mother's Name: First: Last:
Father's Occupation:		Mother's Occupation:
Father's E-Mail:		Mother's E-Mail:
Father's Phone:		Mother's Phone:

TENNIS INFORMATION
Height: ' " Weight:
Film Available: Yes No
Coach's Name:		Coach's Phone #:
Coach's Email:


ADDITIONAL INFORMATION
Academic Honors:		Athletic Honors:

Serious Injuries:		Which other sports do you participate? Basketball Cross Country Track Golf Football Baseball Volleyball Softball Cheer and Dance

KWU Student(s) you know:		KWU Alumni you know:

Online Questionnaire

PERSONAL INFORMATION

PARENT INFORMATION

TENNIS INFORMATION

ADDITIONAL INFORMATION