Jefferson College Soccer Recruit Form

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If you are interested in playing soccer at Jefferson College, please complete the following form.

* Indicates required question

Which team are you interested in? *

Women's

Men's

Name *

Your answer

City *

Your answer

State *

Your answer

Phone *

Your answer

E-mail Address *

Your answer

High School *

Your answer

Graduation Year *

Your answer

GPA *

Your answer

ACT *

Your answer

Coach's Name *

Your answer

Coach's Phone Number *

Your answer

Coach's E-mail Address *

Your answer

Positions Played *

Your answer

A+ Scholarship Recipient *

Yes

No

Do you have game OR highlight film? Please provide the link. *

Your answer

Comments

Your answer

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