Online Recruiting Form
Women's Soccer

NOTE:
-This form is NOT an official university application (click here for an online university application)
-This form will be used by the coaching staff to help determine prospective student-athletes
-NCAA rules prohibit coaches from contacting freshmen and sophomores in high school
-This form is designed for residents of the United States. If you reside outside of the US, click here.

* indicates required fields

PERSONAL INFORMATION

Name - Last* First* Middle Initial*

Date of Birth (MM/DD/YYYY)*

Home Address
            Street*    
            City*   State*   Zip*

Father - Name Occupation

Mother - Name Occupation

Home Phone Number*

Cell Phone Number

Email Address

ACADEMIC INFORMATION

High School*

Date of Graduation (MM/YYYY)*

Class Rank/Number in Class (#/#)

SAT - Date Taken (MM/YYYY) Total Score Verbal Math

Have you applied to the NCAA Clearinghouse?  Yes  No
   (What is the NCAA Clearinghouse?)

Have you applied to Kutztown University? Yes  No
   (Click here for an online university application)

Academic Program Desired at Kutztown University

ATHLETIC INFORMATION

High School Coach*

Coach's Phone Number

Club Coach

Club Coach's Phone Number

Years as a Varsity Starter (including Senior Year)

Position

Height

State Select/ODP Program
     Number of Years on Team District Level State Level Regional Level National Level

List Awards/Honors You've Received
(team captain, all-conference, etc.)

Kutztown University Alumni/Students You Know

Other Varsity Sports Played

OTHER INFORMATION

Please type, in the box below, any other information you would like to submit to the coaching staff

Click this button to submit your information.  If your information is entered correctly, you will be directed to a confirmation page.

Click this button only to reset all the above fields