Introduction Section
Thank you for your interest in Southeast Missouri State University and our Women's Soccer program. By filling out this questionnaire completely, you will not only help our coaching staff contact you regarding participation in Women's Soccer, but also enable our admissions staff to begin the process of reviewing your academic information regarding your attendance at Southeast Missouri State University.

Choosing a college is a tremendous journey in a student-athlete's life. We at Southeast Missouri State University are honored that you have chosen to include us in your search.

We look forward to speaking with you further!


Lindsay Pickering
Assistant Coach
Questionnaire Code
(not required):
Personal Information
First Name:
Last Name:
Country:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
FaceBook:
paste the URL from your Facebook profile
What is your connection to this university:
Parent(s) Information
Mother's First Name:
Mother's Last Name:
Mother's Occupation:
Father's First Name:
Father's Last Name:
Father's Occupation:
Guardian Information
Guardian's First Name:
Guardian's Last Name:
Guardian's Occupation:
Academic Information
School Name:
School City:
School State:
GPA:
SAT Composite:
ACT Composite:
TOEFL:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Club Information
Club Name:
Club Address:
Club City:
Club State:
Club Zip:
Club Coach:
Club Coach Cell:
Club Coach Office:
Club Coach Home:
Club Coach Email:
Athletic Information
Height
Weight (in lbs.)
Jersey #


Positions
Other Questions
When you have completed this questionnaire please click submit questionnaire.
School Name:
State:
City:


Club Name:
Team Name:
Coach Last Name:
State:
City:


Club Name:
Team Name:
Club State:
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile: