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Women's Soccer Recruiting Questionnaire

Women's Soccer

Please complete the following form with all available information. Hit the SUBMIT button at the bottom to electronically submit. If submitting a questionnaire by mail, please type or print all answers and mail to address listed at the bottom.

Indicates a Required Field

Last Name:

First Name:

Middle Initial:

Marital Status:

Email Address:

Date of Birth:

Street Address:

City:

State:

Zip:

Country:

Phone Number:

Height:

Weight:

Position(s) Played:

College Positions:

Stats: Goals:

Stats: Assists:

Other sports participated in & number of years:

Name of your current head coach:

Coach's Home Phone:

Coach's Office Phone:

Coach's Email Address:

Athletic Honors Received:

Name of your high school:

High school street address:

High school city:

High school state:

High school zip:

Cumulative Grade Point:

Class rank:

ACT Score (if available):

Graduation Date and Year:

High school phone:

Filed the Family Financial Statement Packet?:

yes

Date filed:

EFC #:

Counselor's Name:

Academic Interest Area(s):

Mother's Name:

Mother's Street Address:

Mother's City:

Mother's State:

Mother's Zip:

Mother's Phone Number:

Father's Name:

Father's Street Address:

Father's City:

Father's State:

Father's Zip:

Father's Phone Number:

Marital Status of Your Parents:

Married

Separated

Divorced

Deceased

Brothers & Sisters (Names & Ages):

Name / Signature:

Date:

Verification Code:

If you are not sure what the words are, enter your best guess.

You may choose to submit this questionnaire electronically: or if submitting a soccer questionnaire by mail, please send to:

Soccer Office
1900 N. Grand Ave., STE. B1
Spencer, IA 51301

Iowa Lakes Community College
Campuses in Algona, Emmetsburg,
Estherville, Spencer and Spirit Lake.

Equal Opportunity Statement

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