| 1. Personal Information |
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| Fields marked with a* are required |
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| *Gender: |
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| *Birth Date: |
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| 2. Academic Information |
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| *Address: |
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| *City: |
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| *Country: |
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| *Zip/Postal Code: |
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| *Counselor Name: |
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| *Counselor Email: |
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| *Counselor Phone: |
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| *GPA: |
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| SAT: |
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| SAT ll: |
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| ACT: |
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| TOEFL: |
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| Rank in Class: |
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| # of Students in H.S.: |
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| Anticipated Major: |
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| 3. Soccer Information |
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| *Height: |
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| *Weight: |
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| Mile Time: |
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| 2 Mile Time: |
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| 40 Yard Dash: |
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| Weight Training: |
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| Runs Outside of Practice: |
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| Extra Miles Per Week: |
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| Other Sports Played: |
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| 4. Soccer Playing Experience (years) |
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| Recreation: |
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| Travel League: |
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| Premier League: |
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| Total Years Played: |
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| Current Position Played: |
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| Other Positions Played: |
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| Willing to Play Any Position: |
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| 5. H.S. Experience |
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| Years as a Reserve: |
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| Junior Varsity: |
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| Varsity: |
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| 6. Club Experience |
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| Current Club: |
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| Previous Clubs Played For: |
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| Tournaments Played w/Current Club: |
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| 7. Olympic Developement Prgram/Player Development Program(ODP/PDP) |
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| Participated in ODP/ODP: |
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| Years Participated: |
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| Years Made State Team: |
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| Years Made Regional Team: |
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| Years Made National Team: |
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| 8. Career Highlights |
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| Honors and Awards: |
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| Career Highlights: |
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| Goals: |
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| 9. High School Coach |
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| First Name: |
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| Last Name: |
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| Phone Number: |
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| Email Address: |
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| Comments: |
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| 10. Club Coach |
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| First Name: |
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| Last Name: |
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| Phone Number: |
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| Email Address: |
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| Comments: |
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