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Moccasin Women's Soccer
Women's Soccer Questionnaire for Potential Student-Athletes
Name:   E-Mail:
Address:    Apt #:
City:     State:    Zip:
Phone: Social Security Number:  
Age: Height / Weight:  
Live With: Both Parents Mother Father Other  
Father's Name: Work Phone:  
Father's Occupation: Alma Mater:  
Mother's Name: Work Phone:  
Mother's Occupation: Alma Mater:  
High School:  Grad. Year:   
Honors:   
Junior College: 
          Grad. Year:  Credit Hours:  		 
Honors:   
ODP/Select/Other College Attended:   
TEST SCORES - ACT: SAT (Math): SAT (Verbal): GPA:  
Soccer Coach: Work Phone:  
Academic Program Desired in College:
         Minor 		 
Best Position: Other  
Relevant High School Statistics:   
Club Team and/or Summer League:   
Campus Groups or Clubs
         (list name of clubs and years):  		 
Hobbies/Interest:  
Do any of your friends or relatives compete in intercollegiate/professional sports
          (if yes, please list name(s), sport(s), team(s): 		 
Hometown Paper:  
PLEASE READ THE FOLLOWING GIVE YOUR NAME IF YOU AGREE. I give the Florida Southern College Sports Information Office permission to review my official transcripts in order to evaluate my candidacy for academic-related honors. I also authorize the FSC Women's Soccer Team to use my name and likeness, and any information contained on this form, in news releases and publications advertising or promoting Florida Southern College.

Name:

 
I have met the following NCAA criteria:
Have NCAA Clearinghouse papers field:
Have minimum SAT/ACT scores for eligibility:
Have or will complete core course requirements upon graduation.