Rice Soccer Questionnaire

* Required field

First Name*

Last Name*

Address*

City*

State

Zip Code

Home Country

Home Phone Number

Cell Phone Number

Email*

Date of Birth*

Mother's First Name

Mother's Last Name

Mother's Email

Mother's Cell

Mother's Alma Mater

Mother's Occupation

Father's First Name

Father's Last Name

Fathers's Email

Father's Cell

Father's Work Phone

Father's Alma Mater

Father's Occupation

Siblings

Other Schools Interested

Top Priorities In Choosing A College

Academic Information

HS Name

Graduation Year*

HS Address

HS City

HS State

HS ZIP

HS Phone

Class Rank

Grade Point Average

ACT

SAT Total

SAT Critical Reading

SAT Writing

SAT Math

Intended Major

Athletic Information

HS Coach's First Name

HS Coach's Last Name

HS Coach's E-Mail

HS Coach's Cell Phone

HS Coach's Work Phone

Position

HS Jersey No.

Height

Weight

Athletic Honors

Other Sports Played

Club Team Name

Club Jersey No.

Club Coach's First Name

Club Coach's Last Name

Club Coach's E-Mail

Upcoming Tournaments

Olympic Development Honors

ODP Coach's First Name

ODP Coach's Last Name

ODP Coach's E-Mail

ODP Coach's Cell Phone

Please certify that you are a high school junior or senior, or are a current college student*
Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.

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