Prospective Questionnaire - Mercer - Mercer University Athletics

MERCER MEN'S SOCCER PROSPECTIVE PLAYER QUESTIONNAIRE
Please fill out form as completely as possible

*required field

Personal Information

*Name:
Cell Phone:	Home Phone:
E-Mail:	Date of Birth:
Address:
City:	State:	Zip:

Family Information

Father's Name:		Occupation:
Address, City, State, Zip (if different):
Father's Phone
Mother's Name:		Occupation:
Address, City, State, Zip (if different):
Mother's Phone:

Siblings/Relatives You Live With (include name, age & relationship of each):

Academic Information

High School/Prep School Name:
HS Address:
HS City:	HS State:	HS Zip:
HS Phone Number:	Graduation Date:
HS Counselor's Name:
Core Grade Point Average:
SAT Overall Score:	SAT Math Score:
SAT Written Score:	SAT Reading Score:
ACT Composite Score:
TOEFL (if an international student):

List any other high schools you attended (with address and grade point average there):

Are you registered with the NCAA Clearinghouse? Yes No

What are your top 3 choices as a possible academic major?
1. 2. 3.

Transfers Only

List All Other Schools Attended (in order, most recent first)

School                        Location                          GPA & Credits              Years Attended






Men's Soccer Information

High School Coach:	HS Coach's Phone:	HS Coach's E-Mail:
HS Position:	HS Jersey #:
HS Honors:

Club Team:	Club Team Coach:	Club Coach Phone:	Club Coach's E-Mail:
Club Position(s):	Club Jersey #:
Club Honors:

Please list any tournaments you are attending:

Other games - HS or Club - where we might be able to see you play (please provide dates):

Do you have video available of yourself?: Yes No
(if "Yes", please send to us ASAP)

Other colleges you are considering:

???

Mercer University Athletics

Prospective Questionnaire - Mercer

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