Soccer Questionnaire

Personal Information

*Name of Student
 *Name of Parent/Guardian

*Home Address
 *City
 *State

*Zip
 *Phone
 *Cell Phone

*Email
 *Birthdate
 Church Attending

*Height
 *Weight


Academic Information

*High School
 *Graduation Year

GPA ACT SATV SATM

Level of Interest in Westminster (1=low, 5=high)

Major

Other Colleges Considering


Soccer Information

General Information

*Position
 Left or Right-Footed

Club Team
 *Years Played at High School/Club level

High School Coach
 HS Coach's Phone
 HS Coach's Email

Club Coach
 Club Coach's Phone
 Club Coach's Email

Honors & Awards

Level of Interest in Playing (1=low, 5=high)




Girish Thakar, Soccer Coach   (724) 946-7316    Fax (724) 946-7021    email me