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Women's Soccer Recruit Questionnaire

Please fill out the following questionnaire if you are interested in Varsity Soccer.

First Name:    Middle Name:   
Last Name:   
Address:   
City:    State:    Zip:   
Phone:    email:   
Age:    Birthdate:   
Racial / Ethnic Identity (optional):   
Mother's Name:   
Occupation:    College:   
Father's Name:   
Occupation:    College:   
No. of children in family (including yourself):   
Denison alumni you know:   
Denison students you know:   

Academic Information:

High School:   
School Address:   
City:   
State:   
Zip:   
High School Counselor:   
Counselor's Phone:   
High School Coach:   
Coach's Phone:   
Coach Email:   
GPA:    Class Rank:    No. in class:    Date of Graduation:   
PSAT: Math    Verbal:    PLAN: Composite:   
SAT: Math:    SAT: Verbal:    ACT Composite:   
Areas of academic interest:   
Other colleges of interest to you:   
Academic honors:   

Athletic Information:

Previous Playing Experience 1

 High School    Club Team  
Jersey Number:    Team Name:   
Coach:    Coach Phone:   
Coach Email:   
Position:    Years Played/Started:   
Pertinent Stats and Honors:

Previous Playing Experience 2

 High School    Club Team  
Jersey Number:    Team Name:   
Coach:    Coach Phone:   
Coach Email:   
Position:    Years Played/Started:   
Pertinent Stats and Honors:

ODP Playing Experience (if applicable):

State Team    Years   
Regional Team:    Years:   
Please list any tournaments you will be playing in and dates:
Please tell us how you heard of us:
Please rank your knowledge of Denison University  Significant    Moderate    Little    None  
Comments:
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