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Assessment

    Last Name
    First Name
    E-mail
    Address
    City
    State, Zip Code
    Country
    Gender
    Date of Birth
    Graduation Class
    Home Phone
    Cell Phone
    Father's Name:
    Father's Email:
    Father's Cell Phone:
    College Father Attended:
    Mother's Name:
    Mother's Email:
    Mother's Cell Phone:
    College Mother Attended:
    High School:
    Graduation Year:
    GPA:
    SAT Math:
    SAT Writing:
    SAT Critical Reading:
    Composite SAT Score:
    Composite ACT Score:
    When did you start 9yh grade?
    What are the five most important criteria you will use during the college selection process?
    1.
    2.
    3.
    4.
    5.
    Club Soccer Coach:
    Email:
    Cell:
    High School Coach:
    Email:
    Cell:
    List Top 5 College Choices:
    1.
    2.
    3.
    4.
    5.
    Are you registered with NCAA Clearinghouse?
    Are you interested in Road 2 College Soccer Services?
    If yes, please enter who to contact along with their number/email:

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