| PERSONAL |
| Name_____________________________________ |
Prefer to be called__________________ |
Year of Graduation _______
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Street Address_____________________________ |
City______________________________ | State________ |
Zip_________
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| Phone (______)_______ - _____________ | SS# _______-______-__________ |
E-mail___________________________
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| Mother's Name_____________________ | Father's Name _________________ |
Birth Date ______________________
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| SCHOOL |
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High School _________________________________________
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GPA: ____________
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Class Rank: _______/_______
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SAT: M____________ V____________
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ACT:___________
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School Phone (______) _____ - ____________
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Academic Honors:________________________________________________________________________________
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AP Courses:____________________________________________________________________________________
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| SOCCER EXPERIENCE |
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High School Coach: _______________________
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Office Phone (____) _____ - ________
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Jersey # ________
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Years Varsity/Started: ______ / ______
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Team Honors: __________________________________________________
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Other HS Soccer Honors:
________________________________________________________________________________________
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ClubTeam:_______________________________
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Club Coach: _________________________
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Phone (____) _____ - ________
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Club Team Honors: _____________________________________________________________
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Jersey # ________
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Upcoming Tournaments:
_______________________________________________________________________________________
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ODP/State Team Experience:
____________________________________________________________________________________
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Camps Attended:
____________________________________________________________________________________________
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| COLLEGE |
| Are you interested in attending Saint Mary's College?________ | Would you like to receive more literature? | ________ |
| Would you like to visit the campus? ________ | Have you applied to the Admissions Office? | ________ |
| Area of academic interest:________________________________ | Will you be applying for Financial Aid? | _______ |
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List other Colleges/Universities Considering:
____________________________________________________________________
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______________________________________________________________________________________________________
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Additional comments/questions/concerns?
_____________________________________________________________________
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______________________________________________________________________________________________________
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Please return to: Head Soccer Coach, Saint Mary's College, Notre Dame, IN 46556