Kids Club
Men's Soccer Recruit Questionnaire
Please fill out all fields below. When you are finished, click submit. Thank you for your interest in Drake Soccer. If you have any questions, please contact Gareth Smith at gareth.smith@drake.edu

Required Fields in Bold

Name (Last, First, Middle)
 
Address
 
City, State, Zip
 
Home Phone
 
Cell Phone
 
Email
 
Birthday
 
Father's Name and Occupation
 
Mother's Name and Occupation
 
Brother and Sisters (names and ages please)
 
Relatives/Friends who have or are attending Drake
 
 
ACADEMIC PROFILE

High School
 
High School's Address (Street, City, State, Zip)
 
High School's Phone
 
Graduation Date
 
GPA
 
ACT Score and Date Taken
 
Planning to Retake ACT?
 
Yes
No
SAT Score and Date Taken
 
Planning to Retake SAT?
 
Yes
No
Academic Honors and Achievements
 
Other High School Sports/Interests
 
NCAA Clearinghouse # and Date
 
Intended Major/Area of Interest
 
 
Transfer Students- College and GPA
 
 
ATHLETIC PROFILE

Position
 
Height
 
Weight
 
Dominant Foot
 
Right
Left
High School Coach and Contact Info (Phone and Email)
 
Club Team
 
Club Coach and Contact Info (Phone and Email)
 
ODP Highest Level
 
ODP Coach and Contact Info (Phone and Email)
 
Is a video of your play available?
 
Yes
No
If video available, will forward to Drake on (date)
 
When can you visit Drake? (Check all that apply)
 
Drake Relays Weekend (Late April)
Summer
Fall
Spring