Millsaps College

Prospective Athlete Questionnaire - Men's Soccer

PERSONAL INFORMATION

Last Name: 
First Name:  
Middle Name:  
Prefer to be called: 
 
Home Address: Present Mailing Address: (if different from Home)
Street or P.O. Box: Street or P.O. Box:
City: City:
State: State:
Zip: Zip:
Phone Number:  Phone Number: 
E-Mail Address:  

ACADEMIC INFORMATION

High School City, State, Zip Dates Attended School Type
Cumulative GPA (9-12): Weighted
Unweighted 		Class Rank: 
in a class of  		Year of Graduation: 
Are you currently enrolled in college?
Yes
No
College City, State, Zip Dates Attended  
 
 
SAT Scores ACT Scores 
Verbal: Composite:
Math:    
Combined:    
 

ATHLETIC INFORMATION

High School Soccer Experience  
Position:
Height:
Head Coach Name:
Coach Telephone Number:

Honors/Awards:
 
Other Soccer Experience (club, select teams, etc.)  
Position: Position:
Team: Team:
Level: Level:
Head Coach Name: Head Coach Name:
Coach Telephone Number: Coach Telephone Number:
Honors/Awards:
Honors/Awards:
 

Additional Sports Played/Experience:

Questions/comments for the Coach:
 

  The questionnaire will be transmitted directly to Millsaps Athletics.

Thank you for your interest in Millsaps Majors Athletics! A member of the admissions and athletics staff will be in contact with you soon. Click here to return to the main athletics page.