* indicates a required field.

PERSONAL INFORMATION

First Name *
Last Name *
E-Mail
Graduation Year *
Date of Birth *
Address 1 *
Address 2
City *
State *	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Europe Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming  Zip *
Home Phone *
Cell Phone
Social Security Number
Father
First Name
Last Name
Occupation
Alma Mater
Mother
First Name
Last Name
Occupation
Alma Mater
Brothers/Sisters (names and ages)
Height
Weight

Will you be applying for need-based financial aid?

Yes No

SCHOLASTIC INFORMATION

High School *
School Phone
ACT		SAT		Class Rank		GPA
Academic Interest
Top colleges you are considering
Why are you interested in USD?
Indicate the factors that are most important in your college selection
Academics Coaches Location Financial Aid Package

SOCCER INFORMATION

High School Coach
First Name
Last Name
Phone

Club Team
Team Name
First Name
Last Name
Phone
Uniform #
Website
Best Position

List the tournaments you will be attending
Check the ODP levels you have achieved and list the years that you participated
State Team
Regional Pool
Regional Team
Are you registered with the NCAA Clearinghouse?	Yes No