FORDHAM UNIVERSITY
WOMEN'S SOCCER

PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME COUNTRY  
HOME PHONE  
CELL PHONE  
EMAIL  
ALTERNATE EMAIL  
DATE OF BIRTH  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S WORK PHONE  
MOTHER'S CELL  
MOTHER'S ALMA MATER  
MOTHER'S OCCUPATION  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S WORK PHONE  
FATHER'S CELL  
FATHER'S ALMA MATER  
FATHER'S OCCUPATION  
SIBLINGS  
OTHER SCHOOLS INTERESTED  

ACADEMIC INFORMATION

HS NAME  

GRADUATION YEAR  
HS ADDRESS  
 
HS CITY  
HS STATE  
ZIP  
HS PHONE  
CLASS RANK  
GRADE POINT AVERAGE  
ACT WITH WRITING SCORE  
SAT CRITICAL READING  
SAT MATH  
SAT WRITING  
SAT TOTAL  
PLANNED SAT DATE  
SAT II SUBJECT 1  
SCORE  
SAT II SUBJECT 2  
SCORE  
INTENDED MAJOR  

ATHLETIC INFORMATION

HS COACH'S FIRST NAME  
HS COACH'S LAST NAME  
HS COACH'S EMAIL  
HS COACH'S CELL PHONE  
HS COACH'S WORK PHONE  
GUIDANCE COUNSELOR'S FIRST NAME  
GUIDANCE COUNSELOR'S LAST NAME  
GUIDANCE COUNSELOR'S EMAIL  
POSITION  
HEIGHT  
WEIGHT  
ATHLETIC HONORS  
OTHER SPORTS PLAYED  
 

CLUB TEAM

CLUB TEAM NAME  
CLUB COACH'S FIRST NAME  
CLUB COACH'S LAST NAME  
CLUB COACH'S EMAIL  
CLUB COACH'S CELL PHONE  
HAVE YOU SUBMITTED VIDEO?  
WHAT IS THE LINK?  
HIGHEST LEVEL OF ODP PLAY  
TOURNAMENTS ATTENDING  
CASL/Final Four 2015
Disney 2015
NEWSS 2015
Surf Cup August 2015
Surf Cup November 2015
Region 1 Club Regionals 2015
Jefferson Cup 2015
PDA Showcase 2015
Players Las Vegas Showcase 2015
NPL Showcase (Palm Coast FL)

ECNL TOURNAMENTS ATTENDING  
Arlington (TX) 2015
ECNL Finals (Richmond VA) 2015
ECNL Playoffs (Seattle) 2015
PDA (NJ) 2015
Pheonix (AZ) 2015
San Diego (CA) 2015

OTHER (PLEASE LIST TOURNAMENTS BELOW)  
PLEASE CERTIFY THAT YOU ARE A HIGH SCHOOL JUNIOR OR SENIOR, OR ARE A CURRENT COLLEGE STUDENT   Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.