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Men's Soccer
Prospective Player Questionnaire


Your e-mail address:

Full Name:

Date of Birth:

Height (inches):  

Weight (pounds):

Phone:

Address:

City:

State: Zip:


High School:

Test Scores - ACT: -SAT:

Graduation Date:
Month: Year:

High School Coach:

Coach's Phone Number:

Club Name:

Club Coach:

Coach's Phone Number:

Position(s) Played:

Statistics (goals/game, assists/game, saves/game)
Goals/game:
Assists/game:

Saves/game:

Additional Comments:


Academic Interest:

Mother's Name:

Father's Name:

Number of Children in Family:

Number of Children Attending College:

Financial Aid: Qualified Not Qualified

 

 

College of DuPage
Athletics Department
425 Fawell Blvd.
Glen Ellyn, IL
60137-6599


Willie Fajkus
Assistant Coach
Phone:
(630) 942-2479
FAX:
(630) 858-5404

Send e-mail
comments to: fajkus@cod.edu

 

 


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