CapU Women's Soccer Prospective Student-Athlete Questionnaire

Email Secondary Email

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First Name *

Last Name *

Email address *

Date of Birth (DD/MM/YEAR) *

Home Address (Street, City, Province/State/Postal Code) *

Country *

Cell Phone Number

Graduation Year from High School *

High School Name *

GPA *

Academic Honours/Achievements

Are you a University/College Transfer? *

yes no

If yes, from which University/College?

Position *

Height *

Club Team

Club Team Coach

Club Team Coach's Phone Number

High School Coach's Name

High School Coach's Phone Number

Highest Level of Play

Honours and Achievements

Link to game tape

Any Additional Info

* required field