TJC Soccer Questionnaire

Name___________________________________________________

Address_________________________________________________

City________________________   State_____   Zip Code________

Phone (____)_______________DOB____/_____/_____

Parents/Legal Guardians____________________________________________________

E-mail_______________________________________________________

School Information

Name of School Presently Attending________________________________________

ACT Score___________ SAT Score_____________ GPA__________________

Present Class_____________________ Graduation Date_____/______/_______

Academic Honors______________________________________________________

Athletic Information

Height___________ Weight__________ Position_________________

School Coach_______________________ Hone (       ) ____________________

Club Team___________________________

Club Coach_________________________   Phone (       ) _____________________

Awards in Club Play____________________________________________________

______________________________________________________________________

Write a short statement on the back about what you feel is your strengths and goals for college soccer.