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Introduction Section

This is the Marshall University Women's Soccer Questionnaire.

Personal Information

First Name:

Last Name:

Preferred Name:

Country:

Street Address:

City:

State:

Zip:

Grad Year:

Date of Birth:

Email Address:

Home Phone:

Mobile Number:

Parent(s) Information

Mother's First Name:

Father's First Name:

Guardian Information

Guardian's First Name:

Guardian's Last Name:

Guardian's Email Address:

Living With:

Academic Information

School Name:

GPA:

SAT Test Date:

SAT Reading:

SAT Math:

ACT Test Date:

ACT Composite:

Intended Major:

Have you Joined the Eligibility Center?

Club Information

Club Name:

Club City:

Club State:

Club Coach:

Club Coach Email:

Athletic Information

Jersey #

Positions

Soccer