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PENN STATE WOMEN'S SOCCER
INFORMATION SHEET

PERSONAL INFORMATION
 
Name:
(First)  (Middle)  (Last)
       
  High School
Graduation Year:
 Birth Date:
  
       
Street:
  
     
City:
  

  State:
 Zip:
 Phone:
 E-mail:
  Mother:
 Occupation:
 Father:
 Occupation:
Height:
 Weight:
 Connection to Penn State University:

ACADEMIC INFORMATION
 
  High School: HS GPA: Class Rank:
  SAT:  ACT:   
       
  Academic Major Interests at Penn State:
  Other Schools You Are Considering:

OLYMPIC DEVELOPMENT PROGRAM

  Please Check the Appropriate Age Levels:
  15 16 17 18
State Pool
Regional Pool
National Pool

  State Coach:  E-mail:  Phone: 
  Regional Coach:  E-mail:  Phone: 
  National Coach:  E-mail:  Phone: 

CLUB TEAM

  Club Team:
 Number:
 Age Group:
 Position:
  Years with Team:
 Club Web Page:
  Coach's Name:
 E-mail:
 Phone:
  

HIGH SCHOOL SOCCER

  High School Soccer Season: Fall:
 Spring:
    
  Personal Honors: All-American:
 All-Region:
 All-State:
 All-District:
  H.S. Coach:
 E-mail:
 Phone:

Check any of the following that You / Club Team / Your ODP Team will attend
  President's Day AZ (2/07)
 Jefferson Tourn (3/07)
 LV Showcase (3/07)
 PDA Showcase (5/07)
 Columbia Tourn (5/07)
  Texas Shootout (6/07)
 JAGS Tourn (6/07)
 REGI ODP (6/07)
 Regional Club Tourn (6/07)
 Regional ODP Camp (7/07)
  ESP Camp (7/07)
 Surf Cup-CA (8/07)
 National ODP Camp (8/07)
 Score at the Shore (7/07)
 WAGS Tourn (10/07)
  Hazlet Showcase (11/07)
 Bethesda Tourney (11/07)
 Kirkwood Tourn (11/07)
 Raleigh Shootout (12/07)
 Orange Classic (12/07)
  Disney Showcase (12/07)
        
         
  Others:    

 


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