(NewPlayer)intakeform

* Indicates required field

I will be ATTENDING the March 14, 2020 SOCCER "Launch Party" *

LPU Soccer - Player Intake:

* Any question that do not apply below, that is listed as a required answer, if you do not have an answer for that section please enter "NA"

Name/s of (guests) and (relationship) to me... that will be attending with me to the March 14, 2020 Soccer "LAUNCH" party will be: *

Player Name *

First

Last

Player Phone # *

Player Email *

Height (inches): *

Weight (lbs.): *

High School Attended: *

Grad Date (00/00/0000): *

Club Team(s): *

Hometown (city, state, country): *

Birthdate (00/00/0000): *

Primary Position: *

Other College(s) Attended/year(s): *

Intended Major at (LPU): *

Years of Eligibility remaining (select one): *

College (Academic Honors): *

High School (Academic Honors): *

Club Team (Athletic Honors): *

Please List any (EXTRACURRICULAR CLUBS/GROUPS): *

HOW DOES IT FEEL TO BE A LIFE PACIFIC WARRIOR? *

UntitledWHAT INSPIRES YOU TO BE SUCCESSFUL? *

College (Athletic Honors): *

HS (Athletic Honors): *

Other (Athletic Achievements): *

Hobbies: *

WHAT ARE YOU LOOKING FORWARD TO THE MOST THIS UPCOMING YEAR? *

WHAT DO YOU WANT TO BE REMEMBERED FOR AFTER YOU LEAVE LPU? *

Family Info:

Parent(s) Name(s): *

Home Phone Number: *

Family Email Address: *

Parent/Legal Guardian (professions): *

Home (MAILING) Address: *

Line 1

Line 2

City

State

Zip Code

Country

Please list Siblings (names, ages, school or profession): *

Player (social Media) Info:

Facebook (page link): *

Instagram handle: *

Twitter handle (@): *

List OTHER (social media) used/handles: *

Player (sizing) info:

Player Sizing (top/shirt): *

Player Sizing (bottom/pants): *

Running Shoe (size): *

Boot/Cleat (size): *

If half size .5 (please check YES): *

Yes (size .5) No (whole size as listed above)

If half size .5 (please check YES): *

Yes (size .5) No (whole size as listed above)

Glove size (Goalkeepers) only: *

Jersey # Choices: 1st ; 2nd ; and 3rd choice... *

Scholarship Questions:

FAFSA DRN # : *

FAFSA EFC # : *

State/Country (born in): *

Race/Ethnicity (s): *

I have applied for Cal Grant? *

I am Eligible for other aid: *

Other aid / I may be available for (please list): *

Do you hold citizenship/passport for any additional countries (if so, please list)? *

Please list any (companies parents may work for, unions they are apart of, clubs/associations your family is involved in and/or groups/teams or organizations you participated in as a youth/teenager or currently) that you feel could have/may have scholarship options you could benefit from: *

GPA (entering LPU): *

Please confirm major and desired profession upon graduation: *

Any OTHER areas (groups, family history, employment status, player history etc.,) please list as applies): *

Please upload (JPEG) image / headshot in team/school jersey: *

Max file size: 20MB

Please upload (JPEG) image / action shot of you playing with current team/school: *

Max file size: 20MB

Submit

LPU Soccer - Player Intake:

Family Info:

Player (social Media) Info:

Player (sizing) info:

Scholarship Questions:

Hours

Telephone

Email