LYCOMING COLLEGE

Women's Soccer Questionnaire

General Infomation

Name:

Email:

Home Address:

City:

State:

Zip code:

Home Phone:

Cell Phone:

Date of Birth:

SS#

Father's Info:

Name:

Occupation:

Bus. Phone:

Mother's Info:

Name:

Occupation:

Bus. Phone:

Brothers:

Sisters:

Academic Infomation

High School

Guidance Counselor:

Counselor Phone:

Academic Interests:

SAT Scores:

Verbal

Math

Written

Date Taken

ACT Comp:

Date Taken:

Date of Graduation

GPA

Class Rank/Total

Athletic Information

Position:

Height:

Weight:

Soccer Position

Years Varsity:

High School Coach Info:

Name: Coach's Home Phone: Coach's Office Phone:

Club Team

Club Team Coach:

Club Coach Phone:

Awards (Captain, All-Conference, etc.)

Other sports you want to play in college

Friends/Relatives attending or graduates of Lycoming

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