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CU-BSE
Athlete Request
University/college player registration:
*
Indicates required field
Name (first, last):
*
First
Last
Please Upload a Current (headshot) Image of yourself:
Upload File
*
Max file size: 20MB
Please update a headshot from your Club/Team. If you do not have this. Please take a clear headshot with a solid background (like a wall) behind you. Wearing a solid white tshirt or polo shirt with no logos, image on it.
Date of Birth
*
Current Age
*
Nationality
*
Passport(s)
*
Please list all passport(s) that are current and not expired.
Parent(s) Name (first, last):
*
Please list fathers full name, mothers full name or legal guardian.
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Primary Phone Number
*
Mobile Phone Number
*
WhatsAPP Number
*
If you do not have a WhatsAPP number, within the box below put (NA).
Skype
*
If you do not have a skype account, within the box below put (NA).
Facebook
*
If you do not have a facebook account, within the box below put (NA).
Highlight Link 1:
*
Please copy/paste a full match or match highlight link within the box below. This could be used for evaluation purposes so please make sure it is clear who/where you are playing on the field. As well as make sure the quality of the video is of the standard a scout could use to make a determination of your abilities.
Twitter Handle (@):
*
If you do not have a twitter handle, within the box below put (NA).
Highlight Link 2:
*
Please copy/paste a full match or match highlight link within the box below. This could be used for evaluation purposes so please make sure it is clear who/where you are playing on the field. As well as make sure the quality of the video is of the standard a scout could use to make a determination of your abilities.
Instagram
*
If you do not have an instagram account, within the box below put (NA).
Highlight Link 3:
*
Please copy/paste a full match or match highlight link within the box below. This could be used for evaluation purposes so please make sure it is clear who/where you are playing on the field. As well as make sure the quality of the video is of the standard a scout could use to make a determination of your abilities.
Additional Personal INFO:
*
Please place any additional personal info you would like to be posted to your profile.
Primary Position:
*
Forward (Striker or Winger)
Midfield (Central)
Midfield (Wide)
Defender (Central)
Defender (Full or Wing Back)
GoalKeeper
Height (provide in inches):
*
Second Position:
*
Forward (Striker or Winger)
Midfield (Central)
Midfield (Wide)
Defender (Central)
Defender (Full or Wing Back)
GoalKeeper
Weight (provide in pounds):
*
Dominant Foot
*
Left
Right
(Current) Body Fat %:
*
Only list an actual body fat % if it has been tested by a club/team or medical professional.
CURRENT (Club or Team):
*
CURRENT Coaches Name:
*
CURRENT (League and Age Group):
*
CURRENT Coaches Email:
*
My first year with this (Club/Team):
*
Current Coaches Phone Number:
*
Are you currently competing w/this (Club/Team):
*
Yes
No
Past (Club/Team) 1:
*
Past (Club/Team) Coaches Name 1:
*
Past (League/Age Group) 1:
*
Past (Club/Team) Email 1:
*
My LAST year (Club/Team) was:
*
Past Playing (Club/Team) INFO:
*
Please place any additional playing, (club/team), injury info etc., you would like to be posted to your profile.
Academic Info:
CURRENT School Name:
*
Current Cumulative GPA:
*
Please list GPA in a - Grade Point Average Scale (1.0-6.0) or list GPA is a - Percentage Scale (1-100%).
Past School Name:
*
Number Years Attended:
*
Advanced Placement Credits
*
Yes
Yes (but have not tested yet)
No
Years I attended Past School:
*
Graduation Date:
*
Transfer (College) Credits:
*
Yes
No
Highest SAT (composite score):
*
If you did not take this test, please put (NA) in the box below.
Highest SAT (math score):
*
This should be the highest MATH score from any SAT you have previously taken. If you did not take this test, please put (NA) in the box below.
Highest SAT (ERBW score):
*
This should be the highest ERBW score from any SAT you have previously taken. If you did not take this test, please put (NA) in the box below.
NEXT scheduled test date:
*
If you are not scheduled or will not re-take the SAT, please put (NA) in the box below.
Highest ACT (composite score):
*
If you did not take this test, please put (NA) in the box below.
Highest ACT (math score):
*
If you did not take this test, please put (NA) in the box below.
Highest ACT (english score):
*
If you did not take this test, please put (NA) in the box below.
NEXT scheduled ACT test date:
*
If you are not scheduled or will not re-take the ACT, please put (NA) in the box below.
HighestTOEFL or IELTS score:
*
This is for international students only. In countries that English is not the primary language. If this test does not apply to you or you do not plan to re-take this test please put (NA) in the box below.
NEXT scheduled TOEFL or IELTS:
*
This is for international students only. In countries that English is not the primary language. If you are not scheduled or will not re-take the TOEFL or IELTS, please put (NA) in the box below.
Additional Academic INFO:
*
Please place any additional academic info you would like to be posted to your profile.
I agree to receiving marketing and promotional materials
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Home
ABOUT US
Leadership
MEDIA
Community
IMPACT
Playbook Programs
Contact
Event Registration
CU-BSE
Athlete Request