Cornell University Athletics

Cornell University Women's Soccer Questionnnaire

Personal Information

Last Name First Name Cell Phone ( )
Home Address City State Zip
Home Phone ( ) Social Security Number
Email Address Date of Birth
Father's Name Occupation College Attended
Mother's Name Occupation College Attended
Siblings
Name Age Colleges Attended
Name Age Colleges Attended
Name Age Colleges Attended
Name Age Colleges Attended
Name Age Colleges Attended
Family/Friends who have attended Cornell
1)
2)
3)
Will you apply for Financial Aid? Yes No

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Academic Information
Current School
School Address City State Zip
Guidance Counselor Office Phone ( )
Graduation Date Intended Major
GPA Class Rank of ACT
SAT Verbal Math Other
SAT II Verbal Math Other

Other Schools Interested In
1)
2)
3)

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Soccer Information
Height Weight Position
High School Coach
HS Coach Cell ( )
Club Team
Club School Coach
Club Coach Cell ( )
State/Regional Experience
Names of Soccer References
1) Cell ( )
2) Cell ( )
3) Cell ( )
Soccer Background

Soccer Honors

I am acknowledging that an official transcript may be sent to Cornell University from the Guidance Department upon request.
Parent's Initials
Student's Initials

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Coursework

	9th Grade		10th Grade		11th Grade		12th Grade
	Subject	Grade	Subject	Grade	Subject	Grade	Subject	Grade
English
Math
Language
Science
Social Studies
Other