NIC Men's Soccer

Prospective Student-Athlete Questionnaire

Name:
Address:
City:
State:
Zip:
Phone:	ex. 208-555-5555
Email:
Birthdate:
Parents Names:
Possible Major:
Year of Graduation:
High School GPA:
Position:
Height:
Weight:
High School:
HS Coach:
HS Coach's Phone #:
Club Team:
Club Coach:
Club Coach's Phone #:
Which years did you play ODP: