SALEM INTERNATIONAL UNIVERSITY – Women’s Soccer

Recruiting Questionnaire

Personal

Name_____________________________ DOB __________ Today’s Date_____________ College Start Date/Yr _____

Address ____________________________________ City ______________________ State ______ Zip ____________

Cell & Home Tel.__________________________________________ Email ___________________________________

Name of Parents or Guardian _______________________________Occupations _______________________________

3 Strongest Personality/Character Traits________________________________________________________________

Academic

High School __________________________________ Graduation Year _____ Telephone _____________________

Address________________________________ City ___________________________ State ______ Zip _________

Class Rank _____ GPA ____ SAT (math) ____ (reading) ____ ACT Scores: Eng ___ Math ___ Sci. ___ Comp. ____

Academic Major of Interest_____________________ Other Univs. Applying To _____________________________

Academic Honors or Awards _____________________________________________________________

NCAA Clearinghouse Registered? (Y/N) ________ If yes, what is your PIN#?__________________

Athletic

High School Position____________________ Jersey # ______Goals _______Assists________

Athletic Honors or Awards___________________________________________________________________

HS Coach’s Name ___________________________Tel & Email ____________________________________

Club Team Name _________________________ Position ________ Jersey # ____ Height _____ Weight ____

Club Coach’s Name_____________________ Tel & Email __________________________________________

Names/Contact Info. (Tel-Email) of Who You Would Recommend _____________________________________

Please complete and return to:

Andy McNab Head Women’s Soccer Coach

Salem International University 223 West Main Street

Salem, WV 26426 304-326-1131

amcnab@salemu.edu