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COLUMBIA UNIVERSITY WOMEN'S SOCCER QUESTIONNAIRE
Personal Information
First Name: *
Middle Name:
Last Name: *
Preferred Name:
Address: *
City: *
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
Zip:
Country:
Date of Birth: *
Mobile:
Email: *
Twitter:
Hobbies:
Team Information
Team Name: *
Clear
Jersey #:
Position:
GK
Outside Back
Center Back
Defensive Mid
Attacking Mid
Wide Mid
Forward
Highest ODP:
National
National Pool
Regional
Regional Pool
ODP
NA
Event List:
06/23/2016 - 2016 ECNL Playoffs
07/22/2016 - 2016 NYC Cup
11/11/2016 - 2016 ECNL Phoenix
11/11/2016 - 2016 Bethesda Premier Cup
12/01/2016 - 2016 CASL Showcase/Nat'l League
12/28/2016 - 2016 ECNL Florida
12/31/2016 - 2017 Disney Showcase
12/31/2016 - National League Florida
02/18/2017 - 2017 ECNL Texas
02/25/2017 - 2017 Columbia Winter College ID Camp Feb. 25
03/03/2017 - 2017 Manhattan SC Kickoff
03/17/2017 - 2017 National League Las Vegas
03/17/2017 - 2017 Las Vegas Players Showcase
03/18/2017 - 2017 Jefferson Cup
03/31/2017 - 2017 Columbia March 31st College ID Camp
04/07/2017 - 2017 ECNL Phoenix (Spring)
04/29/2017 - 2017 Columbia April 29th College ID Camp
05/19/2017 - 2017 Umbro Top Rated Showcase
05/27/2017 - 2017 ECNL New Jersey/PDA Showcase
06/22/2017 - 2017 ECNL Nat'l Playoffs
08/04/2017 - 2017 Columbia August 4-5 College ID Camp
Other Events:
Height: *
ft.
in.
Soccer Accolades:
Profile Link:
Team Coach Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name:
Last Name:
Mobile Phone:
Email:
Academic Information
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
GPA (unweighted): *
Class Rank:
Intended Major(s):
PSAT:
SAT Total:
SAT Math:
SAT Reading:
SAT Writing:
ACT:
Subject Test 1:
Biology
Chemistry
Chinese with Listening
French
French with Listening
German
German with Listening
Italian
Japanese with Listening
Korean with Listening
Latin
Literature
Math Level 1
Math Level 2
Modern Hebrew
Physics
Spanish
Spanish with Listening
U.S. History
World History
Subject Test 1 Score:
Subject Test 2:
Biology
Chemistry
Chinese with Listening
French
French with Listening
German
German with Listening
Italian
Japanese with Listening
Korean with Listening
Latin
Literature
Math Level 1
Math Level 2
Modern Hebrew
Physics
Spanish
Spanish with Listening
U.S. History
World History
Subject Test 2 Score:
Connection to Columbia:
1st College Preference:
2nd College Preference:
3rd College Preference:
Registered with Eligibility Center: *
Yes
No
Eligibility Center ID:
Parent/Guardian Contact Information
First Name: *
Last Name: *
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
Mobile Phone:
Email:
College Name:
Employer:
Occupation:
Parent/Guardian Contact Information
First Name:
Last Name:
Relationship:
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
Mobile Phone:
Email:
College Name:
Employer:
Occupation:
School Information
School Name: *
Clear
School Address 1:
School City:
School Zip:
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
School Country:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Email:
Guidance Counselor's Phone:
School Coach Information
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
First Name:
Last Name:
Mobile Phone:
Email: