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Personal Information
Prospect Code:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Date of Birth: *
First Name: *
Address: *
Last Name: *
City: *
Preferred Name: *
State: *
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Email: *
Zip: *
Phone: *
Country: *
Parent/Guardian Contact Information
Parent/Guardian Name (1): *
Parent/Guardian Name (2):
Parent/Guardian Phone (1): *
Parent/Guardian Phone (2):
Parent/Guardian Email (1): *
Parent/Guardian Email (2):
Relationship: *
Relationship:
Athletic/Team Information
Registered with NCAA Eligibility Center: *
Yes
No
Eligibility Center Number:
Club Team Name: *
Clear
Tournament #1:
Club Coach Name: *
Tournament #1 Date:
Club Coach Email: *
Tournament #2:
Club Coach Mobile Phone: *
Tournament #2 Date:
Primary Position: *
Goalkeeper
Centerback
Holding Mid
Wide Back
Attacking Mid
Center Mid
Wide Mid
Center Forward
Winger
Tournament #3:
Secondary Position: *
Goalkeeper
Centerback
Wide Back
Holding Mid
Attacking Mid
Center Mid
Wide Mid
Center Forward
Winger
Tournament #3 Date:
Height: *
ft.
in.
State ODP:
n/a
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
TN
TX
UT
VT
VA
WA
WV
WI
WY
Weight: *
Youth National Team:
U-20 National Team
U-18 National Team
U-17 National Team
U-15 National Team
U-14 NDP
Jersey #: *
Which ID Camp will you attend? (ussportscamps.com/soccer/nike/nike-soccer-camp-seattle-university:
Winter ID Camp January 6
Spring ID Camp March 31
Please describe yourself as a player (strengths and weaknesses): *
Academic Information
High School Name: *
Clear
ACT Test Date:
SAT Test Date:
High School City: *
ACT Composite Score:
SAT Composite Score:
High School State: *
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
ACT English:
SAT Reading:
High School GPA: *
ACT Reading:
SAT Writing:
High School Class Rank:
ACT Science:
SAT Math:
High School Coach Name: *
ACT Math:
TOEFL:
High School Coach Cell Number: *
High School Coach Email: *
Intended College Major: *
Art
Business
Biology
Chemistry
Education
Engineering
English
Math
Nursing
Pre-Health
Psychology
Sport and Exercise Science
Other
Additional Information
Do you have a highlight video? (Include link here):
Do you have an online player profile page? (Include link here):