WILLIAM CAREY COLLEGE

 RECRUIT INFORMATION: If you are interested in playing soccer at William Carey College complete this form.

___________________cut, paste and e-mail or print and snail mail to ___________________

MEN: nboulton@wmcarey.edu  or WCC, Box 145, 498 Tuscan Avenue, Hattiesburg, MS 39401 (FAX 601-318-6770)

WOMEN: dowens@wmcarey.edu  or WCC, Box 205, 498 Tuscan Avenue, Hattiesburg, MS 39401 (FAX 601-318-6770)

________________________________________________________________________

YOUR NAME                                                 YOUR ADDRESS                                                    ___

CITY                                                   ZIP_______________YEAR OF GRADUATION________________

A.C.T. AND/OR S.A.T. SCORE                          G.P.A.___________________________________________

YOUR e-mail (print carefully)_________________________________________________________________

TELEPHONE 1.                                              TELEPHONE 2._____________________________________

POSITION(S) PLAYED________________________________________________________________________

HIGH SCHOOL TEAM                                      CLUB TEAM_______________________________________

H.S. COACH                                                 CLUB COACH______________________________________

H.S. COACH TEL.                                          CLUB COACH TEL.__________________________________

O.D.P. YEAR                                                 O.D.P. YEARS PLAYED______________________________

O.D.P. STATE COACH                                     O.D.P. REGIONAL COACH  __________________________

HEIGHT                      WEIGHT                       40 YARD SPEED                         MILE TIME___________

OTHER NOTABLE FACTS/REFERENCES (ADD BELOW OR ON SEPARATE SHEET)