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UConn Women's Soccer Recruiting Form

This information will be emailed to the Women's Soccer coaching staff.
Please fill in all required fields which are marked with an asterick. *
Personal Information
* First Name:
Middle Name:
* Last Name:
* Address:
* Town:
* State/Province:
 US or Canada only
* Zip:
Country:
 if outside US/Canada
* Phone:
Phone Country Code:
 if outside US/Canada
* Graduation Year:
Height:
Weight:
Email:
Birthday:
Fax:
Father:
Occupation:
Mother:
Occupation:
Academic Information
* High School:
Address:
City:
State:
Zip:
Country:
 if outside US/Canada
Phone:
Phone Country Code:
 if outside US/Canada
Guidance Counselor:
Possible Major(s):
Class Rank: out of 
GPA:
SAT Verbal:
SAT Math:
ACT:
PSAT:
Have you registered with the NCAA Clearinghouse? Yes No
Soccer/Athletic Information
Club Team:
Jersey Number:
Club Coach:
Club Coach Home Phone:
Club Coach Cell Phone
Club Coach Email Address
Preferred Position:
Other Positions:
Upcoming Tournaments/Showcases
Other Sports Played (include times/distance for track):
List your top 4 College Choices:
Please fill all that apply: Past Playing Experience and list date, coach and his telephone number:
    Date: Coach and Phone
Natl Team Yes No
Natl Pool Yes No
Regional Team Yes No
Regional Pool Yes No
State Team Yes No
By submitting this form you are giving your consent for a copy of your academic transcript and available test scores to be released to a representative of the University of Connecticut.

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