Georgia Southwestern State University
Women's Soccer Questionnaire

Personal Information

Full Name: 

Player Cell Phone:  
Street Address: 

City, State, Zip: 


Email Address: 




Date of Birth: 






Parent's Name(s): 


Parent's Contact Phone:  
Parent's E-mail: 


Parent's Street Address: 


City, State, Zip: 


Parent(s) Occupation(s): 


Academic Information

School Name: 


School Phone Number: 


Graduation Date: 


Class Rank: 




ACT Score: 


SAT Critical Reading Score:  
SAT Math Score:  

Intended College Major: 


Athletic Information

Current Soccer Club Team: 

Current League of Club Team:
(e.g. ECNL, RPL, Athena A,B,C)

Club Coach: 


Coach's Phone Number: 


Primary Position: 


Alternate Position Played: 


Link to Highlight Video:  
Link to Club Schedule:  



High School Coach: 


Link to High School Schedule:  

Coach's Phone Number: 


Other Information

Have your parents filed a Free Application for Federal Student Aid (FAFSA)? 


  Yes   No

Have you registered with the NCAA Eligibility Center?      Yes   No   

List any friends or members of your family who attend or have attended Georgia Southwestern and their relationship to you: 




How did you hear about GSW?