Lyon College

Women’s Soccer Questionnaire

General Information:

Name DOB SS#

Address Phone #

City State Zip

Email

Parent or Guardian Name(s)

Parent or Guardian Occupation(s)

High School Information:

High School Graduation Date

High School Address

HS Phone HS GPA HS Code

ACT Scores: English Math Reading Science Reasoning

ACT Composite and/or SAT Scores: Verbal Math

SAT Composite

High School Coach

HS Coach's Home Phone # School Phone #

Years on Varsity Team Position(s) Played

Honors/Awards (academic or athletic)

Club Information:

Team Name Years on Team

Club Coach Phone #

Position(s) Played

Honors/Awards

College Plans:

What schools are you interested in attending?

What do you intend to major in at college?

Do you have an application?

Would you be interested in finding out about Financial Aid opportunities?

Use of this form is for information ONLY, there is NO obligation implied.