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Mesa State - Grand Junction, Colorado
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Online Soccer Recruitment Form

Thank you for your interest in joining the Mesa State Mavericks. Please complete all the fields listed below as best as you can. All fields must contain data. If a field does not apply to you please enter N/A (not applicable)in the field. If a format is specified (ex. mm/dd/yyyy) in the form, you must follow that format when inputting your information.

First Name:
Last Name:
Address:
City:
State:
Zipcode:
Phone:
Social Security Number:
E-mail:
High School or Jr. College:
School's City:
School's State:
School's Phone:
Coach's Name:
Coach's Phone:
Position:
Height:
Weight:
Athletic Honors:
NCAA Clearinghouse Initiated:
If yes, when:
Year of Graduation:
Class Rank:
ACT Composite:
SAT Composite:
Cumulative GPA:
Parent/Guardian's Name:
Parent's Occupation:
Number of children in family (excluding self):
Will you apply for financial aid?
Are game films available?
Jersey Number:
Jersey Color:
Planned course(s) of study:
Other schools you are considering:
Admission status:
Soccer background:
Secondary Position:

If you encounter any difficulties with the form, please check to make sure you have data in all fields. If this does not remedy the problem, please contact coach Erin Sharpe at esharpe@mesastate.edu or by phone at 970-248-1042. Assistant Coach Nick Gumpert at ngumpert@mesastate.edu

 
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