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Soccer Information Request Form

Complete all parts of this form and click on the send button below.

Personal Information:

Name
Area Code (xxx)	Phone (xxx-xxxx)
Birthdate (MM/DD/YY)	Today's date (MM/DD/YY)
Called Name
Email Address
Home Address
City	ST	Zip
Father
Occupation
College/Years
Mother
Occupation
College/Years

Academic Information

High School
Area Code (xxx)		Phone (xxx-xxxx)
Address
City		ST	Zip
Academic Interests
Extracurricular Activities
School Clubs and Honors
ACT Composite		SAT Composite
Graduation date (MM/DD/YY)			Interested in Financial Aid? (check if yes)
Overall Grade Point Average
Rank In Class		Out of
Transfer, if so from where?
How did you hear of Greenville?
Where else have you applied?
Where does Greenville stand in your choice of colleges?
	1 2 3 Other

Soccer Information:

Playing Position(s)
Height (ft-in)		Weight (lbs)
Significant Playing Statistics
High School Coach
Coach Area Code (xxx)		Coach Phone (xxx-xxxx)
High School Team Achievements and Individual Honors
Club Name		Team Name
Club Coach
Club Area Code (xxx)		Club Phone (xxx-xxxx)
Club Team Achievements and Individual Honors
Please Check Each Olympic Development Team Made:
	District State Region Pool Region Team National Pool National Team

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