First Name  Last Name  

Phone

Address  

City State   Zip

Birth Date    E-mail

Academic Information

High School Grad Year 2009 2010 2011 2012

GPA 4.0 3.9 3.8 3.7 3.6 3.5 3.4 3.3 3.2 3.1 3.0 2.9 2.8 2.7 2.6 2.5 2.4 2.3 2.2 2.1 2.0 < 2.0 ACT   SAT Verbal Math

Desired Major

Academic Honors/Awards:

Other colleges you are interested in:

applied    applied

applied    applied

applied    applied

Will your decision be based on the amount of financial aid you

receive? yes  no

Athletic Information

Position   Height > 6' 4" 6' 3" 6' 2" 6' 1" 6' 5' 11" 5' 10" 5' 9" 5' 8" 5' 7" 5' 6" 5' 5" 5' 4" 5' 3" 5' 2" < 5' 2"   Weight

40 yd dash don't know > 5.3 5.3 5.2 5.1 5.0 4.9 4.8 4.7 4.6 4.5 4.4 4.3   Dominant foot left right both   ODP? none State pool State team Regional pool Regional team National pool National team

Strengths

Weaknesses

High School:

Coach   Cell Phone

Goals: Sr.   Jr.   Soph.   Fr.

Assists: Sr.   Jr.   Soph.   Fr.

Years on varsity 4 3 2 1

Soccer Honors/Awards (please include year):

Club Team:

Name   Location

Coach   Cell Phone

(Please e-mail Coach Block a schedule of your upcoming indoor and/or outdoor club season)

Any other comments you would like Coach Block to know:

Thank you for filling out this information.
If you have any questions you can reach Coach Block at:

517-629-7691 (h),  517-629-0506 (w), or jblock@albion.edu.

Albion Men's Soccer, 611 E. Porter St., Albion, MI   49224