Women's Soccer Prospective Student-Athlete Questionnaire
If you are interested in becoming a member of the Green Bay women's soccer program, please fill out the following questionnaire. Your information will be sent directly to the coaching staff. Thank you for your interest in Green Bay Phoenix athletics.

Required Fields in Bold

Name (First, Middle, Last)
 
Position(s)
 
Date of Birth
 
Hometown (City, State)
 
High School
 
High School Coach Information (Name, Address, Phone, E-mail)
 
Current or Previous College
 
High School Graduation Year
 
Club Name
 
Age Group/Team Name
 
Club Coach Information (Name, Address, Phone, E-mail)
 
ODP/National Team Information (Years, Highest Level, Coach)
 
Phone Number (Home & Cell)
 
Home Address
 
E-mail Address
 
Hometown Newspaper
 
Jersey Number
 
 
Height
 
Weight
 
Parents' Names
 
Father's Occupation
 
Mother's Occupation
 
Intended Major
 
Other sports competed in
 
Individual athletic accomplishments (please separate with ... )
 
Team athletic accomplishments (please separate with ... )
 
Academic accomplishments (please separate with ... )
 
GPA
 
Class Rank
 
SAT Score
 
ACT Score
 
Registered with Eligibility Center
 
Yes
No
Other notes of importance (please separate with ... )
 
Bio Life
BMO
Cellcom
Fleet Farm
Menominee
Packers Shop
Prevea
S&L Motors
Ticket Star
WMMB
Matthews Tire
United Press
Gallagher's Pizza
Dental Arts
Diamonds & Golds
Baylake Banks
Country Inn Suites
Renards Cheese
Yellow Pages
WNFL
Weidner Center
TWC Sports