Shepherd University Men's Soccer Questionnaire

First Name:__________________Middle:______________Last:__________________________

Position:__________________________________________________

Soc. Sec. No.________________________________________________

Home Address:__________________________________________________

City: _____________________State:_____________Zip:_________

Home Phone:________________________________

Cell Phone:________________________E-mail_____________________________

Birth Date:____________________Ht:____________Wt:______

Father's Name:______________________Mother's Name________________________

High School:____________________Year of HS Graduation_____________

GPA:___________________SAT:____________ACT:______

NCAA Clearinghouse Yes:_______No:______

Birth Date:____________________Ht:____________Wt:______

Junior College/College ________________________________________________

Year:____________________Total Credits:____________GPA:_____________

Applied to SC Yes:___No:____Major at SC:________________________________________________________

Minor:___________________________________________________

Letters and Sports:____________________________________________________

Athletic Honors/Awards:________________________________________________

E-MAIL FORM BACK TO HEAD COACH JOSEPH OKOH AT:jokoh@shepherd.edu