Fields marked with * are mandatory
General

First Name *
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Last Name *
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Email Address *
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Home Address1 *
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Home Address2
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City *
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State *
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Zip *
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Home Number *
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Cell Phone Number *
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Contact Preference
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Graduation Year *
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Date of Birth
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Academic

Transfer

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Current College
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High School *
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GPA *
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ACT Score
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SAT Critical Reading
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SAT Math
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Academic Honors
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Interested Major(s)
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Other College Choices
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Athletic

Position








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Height
FeetInch
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Weight
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High School Coach
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Best Contact Number - High School Coach
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High School Jersey Number
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Club Team *
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Club Team Jersey Number
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Club Coach
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Best Contact Number - Club Coach
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Years of Varsity Experience



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ODP Experience

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US Development Academy Experience

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Soccer Honors/Awards (provide relevant stats)
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Other
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Do you know any RC soccer players?

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If yes, who? (I)
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Do you know anyone else interested in RC?

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If yes, who (II)
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Why are you interested in Rockford College?
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Highlight Video Link
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YouTube Link
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Additional Soccer Info
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