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LIU Fall Questionnaire
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* Indicates required question
STUDENT-ATHLETE FIRST NAME
*
Your answer
STUDENT-ATHLETE LAST NAME
*
Your answer
HIGH SCHOOL GRADUATION YEAR
*
2020
2021
2022
2023
2024
Required
POSITION
*
ATTACK
MIDFIELD
DEFENSE
GOALIE
DRAW SPECIALIST
OTHER
Required
STUDENT-ATHLETE EMAIL ADDRESS
*
Your answer
STUDENT-ATHLETE CELL PHONE NUMBER
*
Your answer
MAILING STREET ADDRESS
Your answer
MAILING ADDRESS - CITY
Your answer
MAILING ADDRESS - STATE
Your answer
MAILING ADDRESS - ZIP
Your answer
CLUB PROGRAM TEAM NAME
*
Your answer
CLUB PROGRAM JERSEY NUMBER
*
Your answer
CLUB COACH/DIRECTOR NAME
Your answer
CLUB COACH/DIRECTOR EMAIL ADDRESS
Your answer
CLUB COACH CELL PHONE NUMBER
Your answer
HIGH SCHOOL
*
Your answer
HIGH SCHOOL JERSEY NUMBER
Your answer
HIGH SCHOOL COACH NAME
Your answer
HIGH SCHOOL COACH EMAIL ADDRESS
Your answer
HIGH SCHOOL COACH CELL PHONE NUMBER
Your answer
HIGH SCHOOL GPA
Your answer
SAT SCORE
Your answer
ACT SCORE
Your answer
INTENDED MAJOR
Your answer
LINK TO RECRUITING PROFILE
Your answer
LINK TO RECRUITING VIDEOS
Your answer
ADDITIONAL INFORMATION
Your answer
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