Men's Soccer Recruit Questionnaire

Please complete each section below. An e-mail address is required to properly process this form. Upon form submission, you will be taken to a confirmation page with a link to the Urbana University homepage.

PERSONAL INFORMATION

Last Name: First Name:
Parent(s) Name(s): Email (required):
Birth Date:
Street Address: City:
State: ZIP:
Home Phone: Best Time to Call
What are your main factors in selecting a school?

What other colleges are you interested in? 

Have you applied for financial aid? Yes    No Do you know anyone who currently attends UU?   Yes    No

If yes, who?

SCHOLASTIC INFORMATION

School: Phone:
Street Address: City:
State: ZIP
Enrollment: Counselor:
GPA ACT/SAT Class rank/size
Graduation Year: Possible College Major(s):

 ATHLETIC INFORMATION

Coach's Name: Phone:
Height: Weight: Position(s) Played Position(s) Desired
Stats
2002
2003
2004
2005
Goals
Assists
Goals against average
Shut-outs
Overall Team Record
Do you play any other sports?
Honors, Awards:
Hobbies & Interests:
Strongest part of your game

Other information/comments

Urbana University 
Office of Intercollegiate Athletics
579 College Way
Urbana, OH 43078
(800) 7-URBANA
All rights reserved.
 

Please send comments to: webmaster@urbana.edu