CCSJ - Crimson Wave Athletics

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Athletics Office
219-473-4327
877-700-9100 ext. 327
Email: athletics@ccsj.edu

Office Hours:
MWF (8:30 am - 5pm)
Tues & Thur (8:30am - 7pm)

Women's Soccer Recruit Profile

First Name:
Last Name:
Email Address:
Address:
City:
State:
Zip Code:
Home Phone Number:
Cell Phone Number:
Preferred Method of Contact:	Email Home Phone Cell Phone
Graduation Date:
Mother's Name:
Father's Name:
High School:
Junior/Previous College(if applicable):
Address:
City:
State:
Zip Code:
G.P.A
Class Rank (ex. 34/100):
SAT Score:
ACT Score:
Intended Major:	Accounting Business Management Communication Computer Information Systems Criminal Justice Education English General Studies Humanities Human Services Media and Fine Arts Paralegal Psychology Religous Studies Social Sciences
High School Counselor's Name:
High School Coach's Name:
High School Coach's Phone Number:
Club Team Name:
Club Coach's Name:
Club Coach's Phone Number:
Position:
Goals:
Assists:
Saves (Goalkeeper):
Shutouts (Goalkeeper):
Awards/Accomplishments(H.S./Club):

form mail

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