US Youth Soccer Player Profile Form
PERSONAL INFORMATION
Full Name:
Date of Birth: (month/day/year):
Address:
Home Phone:
City:
(
American Citizen:
)
State:
/
Zip:
E-mail Address:
Yes
No
If no, state nationality:
ACADEMIC INFORMATION
School Name:
Grade:
Grade Point Average:
Test Scores:
SAT:
ACT:
College Academic Interests
Clearing House Registration #:
SOCCER BACKGROUND
Team Name:
Club Name:
Years with Club:
US Youth Soccer State Association:
Primary Field Position:
Other Field Position:
US Youth Soccer ODP
Involvement:
District:
SOCCER HONORS & AWARDS
High School Club:
High School:
Other:
ACADEMIC HONORS & AWARDS
High School:
Other:
HOBBIES & INTERESTS
Please
List:
Player Profile Form 11/03
State:
Regional:
Other:
Graduation Year:
/