Merrimack Women's Soccer Recruiting Questionnaire
ATTN: Head Coach Gabe Mejail
315 Turnpike St.
North Andover, MA 01845

This form is not an official college application.

Personal Information

First Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:
Date of Birth:
Father's Name:
Father's Occupation:
Mother's Name:
Mother's Occupation:

Academic Information

High School Name:
College Name: (if applicable)
High School Address:
High School Phone:
Guidance Counselor:
Expected High School Graduation Month/Year:
Intended major at Merrimack:
High School Grade-Point Average:
College Grade-Point Average: (if applicable)
Class Rank:	out of
Academic Honors: (National Honor Society, class officer, etc.)
SAT Math Score:
SAT Verbal (Reading) Score:
ACT Score:
Do you plan to take either test again?	Yes No
If yes, which one and when?
Have you registered with the NCAA Clearinghouse?	Yes No
Have you already applied to Merrimack College?	Yes No
Do you intend to apply for financial aid at Merrimack?	Yes No
Other colleges you are Interested in:

Athletic Information

Height:
Weight:
H.S. Position:
H.S. Uniform Number:
Number of Varsity Seasons:
H.S. Coach's Name:
H.S. Coach's Phone Number:
Club Team:
Club Team Position:
Club Uniform Number:
Number of Years at Current Club:
Club Coach's Name:
Club Coach's Phone Number:
Athletic Honors: (all-conference, all-state, all-area, etc.)
Team Highlights:
What do you consider your Strengths?
What do you consider your Weaknesses?
What other sports are you considering?
How did you hear about us?
Any additional comments: