Questionnaires

Fields marked with * are mandatory
General

 *
*Please enter valid Legal First Name
 *
*Please enter valid Preferred Name
*Please enter valid Middle Name
 *
*Please enter valid Last Name
 *
*Please enter valid Date of Birth
 *
*Please enter valid Are you
 *
*Please enter valid Home Address1
*Please enter valid Home Address2
 *
*Please enter valid City
 *
*Please enter valid State
 *
*Please enter valid Zip
*Please enter valid number
*Please enter valid number
 *
*Please enter valid Email Address
*Please enter valid Have you visited the Wittenberg campus?
*Please enter valid If so - when did you visit?
*Please enter valid Do you plan to visit Wittenberg in the near future
*Please enter valid If so - when?
*Please enter valid Like to meet with soccer coach during visit?
*Please enter valid Country
*Please enter valid Citizenship
Background

*Please enter valid Mother's Name
 *
*Please enter valid Mother's Email Address
*Please enter valid Mother a Wittenberg alum?
*Please enter valid Father's Name
 *
*Please enter valid Father's Email Address
*Please enter valid Father a Wittenberg alum?
*Please enter valid Wittenberg students/alumni that you know
*Please enter valid Do you plan to apply for financial aid?
*Please enter valid Has the FAFSA been completed?
*Please enter valid Please send
Academic

 *
*Please enter valid number
 *
*Please enter valid High School
*Please enter valid High School Phone
*Please enter valid Student Type
*Please enter valid Top College Choice 1
*Please enter valid Top College Choice 2
*Please enter valid Top College Choice 3
*Please enter valid Other College Attending
*Please enter valid Academic Interest 1
*Please enter valid Academic Interest 2
*Please enter valid Academic Interest 3
*Please enter valid number
*Please enter valid number
*Please enter valid Class Size
*Please enter valid number
*Please enter valid number
*Please enter valid number
*Please enter valid Unofficial Transcript (PDF Only)
Athletic

*Please enter valid Height
*Please enter valid Weight
*Please enter valid Positions Played
*Please enter valid Recruiting Website
*Please enter valid Total Years Playing Soccer
*Please enter valid Team Record
*Please enter valid Travel/Select Team
*Please enter valid Soccer honors: Please list individual/team honors
*Please enter valid Personal assessment (your strengths/weaknesses)
*Please enter valid Please list any questions about our program
Personal Contacts
Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.
First
Last
Close