LVC Men's Soccer Questionnaire


GENERAL INFORMATION:
First Name:  
Middle Initial:
Last Name:  
Home Telephone:  
Cell Phone:  
Address:  
City:  
State:   Zip:  
Email Address:    
Date of Birth:
Age:
Mother/Guardian:
Occupation:
Father/Guardian:
Occupation:
Brothers:
Sisters:

ACADEMIC INFORMATION:
Name of High School:  
Guidance Counselor:
Telephone:
High school graduation date:  
S.A.T. Scores:
CR:     M:     W:
ACT Score:
Class Rank:  
  out of
GPA:  
Please list your academic interest(s) or major field(s) of study:
 
Level of interest in LVC (3=high, 1=low):  
Other colleges you are considering:

ATHLETIC INFORMATION:
Individual Honors/Awards:
Position Played:
Club Jersey Number:
Height:       Weight:       Left or Right Footed:  
Club Team:
Club Team Coach:
Club Coach's Telephone:  
Club Coach's E-mail:
High School Head Coach:  
Coach's Telephone:  
Coach's E-mail:  
High School Jersey Number:  
Other sports played in high school:
Level of interest in playing at LVC (3=high, 1=low):  
Do you have a game or highlight tape?       Yes       No
Do you have a schedule of high school season or club season?
Yes       No
Comments/Questions?