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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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