Introduction Section
Thank you for your interest in the UC Irvine Women's Soccer program.

UC Irvine is in the top 10 schools in the country for the number of applications received each year and given our success on the field you can imagine that we hear from thousands of prospective student-athletes wanting to play here.

Completing this questionnaire will register your interest and allow us to add important information to our recruiting database.

NCAA rules prevent us from responding by email until September 1st of your junior year with information other than camp details or a follow up questionnaire. We cannot respond by phone until July 1st at the end of your junior year.
Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
Country:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
Instagram:
@
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
Parent 1's Occupation:
Parent 1's College:
Siblings (Names & Age):
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Parent 2's Occupation:
Parent 2's College:
Academic Information
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School Name:
School Address:
School City:
School State:
School Zip:
School Phone#:
School Fax#:
GPA:
Have you Joined the Eligibility Center?
Eligibility ID:
Club Information
Club Name:
Club Coach:
Club Coach Cell:
Club Coach Email:
Athletic Information
Height
Jersey #
Positions
Other Questions
Do you have online video (provide links):
Briefly explain why you are interested in being considered for our program.:
When you have completed this questionnaire please click submit questionnaire.
School Name:
OR :
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:

Do you still want to add the prospect?