SHUPIRATES.COM :: Seton Hall Pirates Official Athletic Site :: Men's Soccer

Men's Soccer Prospect Questionnaire

Please fill out the following information if you are interested in joining the Seton Hall University men's soccer team.

Required Fields in Bold

	Name:

	Street Address:

	Zip Code.

	State:

	City:

	Home Phone:

	E-Mail Address:

	Date of Birth:

	Cell Phone Number:

	Height:

	Weight:

	Name of Parents or Guardians:

	Father's Occupation:

	Mother's Occupation:

	Father's Business Phone:

	Mother's Business Phone:

	List of close friends who have attended or are now attending Seton Hall University:

	High School or JC Now Attending:

	Graduation Date:

	Address of High School:

	High School Phone:

	High School or JC Grade Point Average:

	Class Rank:

	Guidance Counselor:



	Guidance Counselor Phone:

	SAT Score:

	SAT Date Taken:

	ACT Score:

	ACT Date Taken:

	Are you cleared by the NCAA Clearing House?

	If yes, please enter your NCAA Eligibility Center ID No.:

	High School or JC Head Coach:

	Coach Phone Number:

	Club Coach/ODP Coach:

	Coach Phone:

	Number of Years Played on Club:

	Why are you interested in playing soccer at Seton Hall University:

	Athletics Honors Received:

	What position do you play:

	Are you playing club soccer:

	Name of Club:

	Have you been selected to Area-State-Regional-National teams:

	List the coaches you have played for:

	List the tournaments you have played in:

	Are there any videos available:

	If so, please provide a link to available videos:

Verify characters: