| Shepherd University Women's Soccer Questionnaire
PERSONAL
Name:___________________________________Soc. Sec. No._________________
Current address:__________________________________________________
City:_________________________State:______________Zip:___________
Date of Birth:__________________________________________________
Home Phone: _____________________Work phone:______________________
Parents or Guardians:_______________________________________________
Parent's Occupations: Mother:____________________Father:__________________
ACADEMIC
High School:______________________________Graduation Date._________________
School address:__________________________________________________
City:_________________________State:______________Zip:___________
School Phone:__________________________________________________
Principal:_________________________Guidance Counselor:____________________
School Phone:__________________________________________________
Class Rank:_________________________Grade Point Average:______________Desired Major:___________
Academic Honors:__________________________________________________
How many years in each of the following will you have completed upon graduation?
English______Algebra_______Geometry_______Physical Sciences______
Have you registered with the NCAA Clearinghouse?_____________________Have you taken your College Board exam?_____________________
If not, when?____________SAT score:_____Verbal________Math_______ACT Score________
ATHLETIC
Height:______________________Position(s)._________________
Uniform Number: Home:__________Away:_______________________________
High School Coach:_________________________State:______________Zip:___________
Coach's Office Phone:_______________________Coach's Home Phone:___________________________
Club Team:______________________Club Coach:___________________________
Club Coach Contact Information:__________________________________________________
Individual/Team Athletic Honors:______________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Level of interest in Shepherd University: Strong______Moderate_____________Not Sure_____________________
Please include your club and or high school schedules and mail to:
Head Coach Jim Sweeney, Women's Soccer Office
Shepherd University, P.O. 5000, Butcher Center,
Shepherdstown, WV 25443-5000
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