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Please print this form
and mail to address at the bottom of form. |
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conquistador soccer |
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Kansas jayhawk community college conference –
njcaa div. I |
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PERSONAL PROFILE |
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ACADEMIC PROFILE |
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Grad Year |
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High School |
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Name (First, Middle, Last) |
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GPA |
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Address |
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Class Rank |
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City |
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SAT - |
Total |
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State |
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Math |
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Zip Code |
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Verbal |
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ACT |
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Home Phone |
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PSAT |
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Cell Phone |
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HS Counselor |
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Work Phone |
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Counselor's Phone |
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Fax Number |
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Email |
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SOCCER PROFILE |
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Social Securtiy Number |
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Club Team |
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Date of Birth |
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Primary Position |
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Alternate Position |
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Height |
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Jersey Number |
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Weight |
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Club Coach |
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40 Yard Time |
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Club Coach's Phone |
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2 Mile Time |
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Vertical Jump |
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Highest ODP Level |
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Mother's Name |
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Occupation |
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High School Team |
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Father's Name |
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Position |
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Occupation |
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Jersey Number |
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High School Coach |
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High School Coach's Phone |
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Please complete the following two lists so
that we may assist you in the recruiting process: |
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Games you will be playing in (Dates,
Locations): |
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Other schools that you are considering: |
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3. |
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4. |
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4. |
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