| *Sex: |
Male
Female |
| *Date of Birth: |
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| Height: |
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| Weight: |
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| *Address: |
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| *Town: |
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| *County: |
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| *Country: |
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| *Postcode: |
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| *Email Address: |
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| *Telephone No: |
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| Mobile No: |
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| Best time to call you: |
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| Academic Details |
| Name of Secondary School: |
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| Town of Secondary School: |
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Secondary School Exam Results
(i.e. GCSE/A-Level, Standard/Higher Grades etc...) |
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| Have you ever sat a SAT1, TOEFL or ACT exam? |
Yes
No |
| Have you ever applied to or registered with the NCAA Clearing House? |
Yes
No |
| Have you ever enrolled in any further education course outside secondary school? |
Yes
No |
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| Any other qualifications: |
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| soccer Details |
| Name of home soccer club: |
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| County: |
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| Do you represent your county team? |
Yes
No |
| If yes, are you a member of any coaching squads? |
Yes
No |
| If yes, at which level? |
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| Do you compete in Local/Regional/National Tournaments? |
Yes
No |
| If yes, list examples: |
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| Have you ever been attached to a Professinal Club: |
Yes
No |
| If yes, give details: |
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| List all/any footballing achievements: |
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| Personal Ambition: |
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| UK Coach's name (if applicable): |
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| UK Coach's contact number: |
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| UK Coach's email address: |
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| Any other reference? |
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| If yes, contact details: |
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| Desired year of starting scholarship: |
  
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