NORTHWESTERN UNIVERSITY
MEN'S SOCCER

PERSONAL INFORMATION
FIRST NAME  
LAST NAME  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME COUNTRY  
HOME PHONE  
CELL PHONE  
EMAIL  
DATE OF BIRTH  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S CELL  
MOTHER'S ALMA MATER  
MOTHER'S OCCUPATION  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S CELL  
FATHER'S ALMA MATER  
FATHER'S OCCUPATION  
SIBLINGS (INCLUDE AGES)  
OTHER SCHOOLS INTERESTED  

ACADEMIC INFORMATION
HS NAME  

GRADUATION YEAR  
HS ADDRESS  
 
HS CITY  
HS STATE  
ZIP  
CLASS RANK  
GRADE POINT AVERAGE  
ACT  
SAT MATH  
SAT CRITICAL READING  
INTENDED MAJOR  

ATHLETIC INFORMATION
POSITION  
HEIGHT  
WEIGHT  
HS JERSEY #  
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  
CLUB JERSEY #  
 
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.