Holmes Community College

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Soccer Recruiting Questionnaire

 

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Full Name:
Mailing Address:
Address:
City:	State:      Zip:
Email Address:
Home Phone:	Cell Phone:
Date of Birth:	Social Security #:
Parents/Guardian:
Parent's Address:
Parent's Occupation:
College Major:
High School:
Year of Graduation:	GPA:      ACT:
Height:	Weight:      Positions(s):
Number of Goals:	Number of Assists:      Saves:
Shutouts:	G.A.A.
Club Team:
Club Coach:	Coach's Phone:
Participation in ODP?
Awards?
Video Available?
Comments or Other Information:

 

Holmes Community College is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools to award the associate degree and certificates. Southern Association of Colleges and Schools, 1866 Southern Lane, Decatur, Georgia 30033-4097. Phone (404)679-4501. Holmes Community College does not discriminate on the basis of race, color, religion, national origin, gender, disability, or age in its educational programs and activities, employment, or admissions. The following individuals have been designated to handle inquiries and grievances regarding non-discrimination, compliance policies, and procedures for the College: Wayne Watkins, Compliance Officer, (601)605-3313, Gail W. Muse, Assistant Compliance Officer, (601)605-3374. Written inquiries may be emailed to: compliance@holmescc.edu or sent to: Compliance Office, 412 W. Ridgeland Avenue, Ridgeland, MS 39157.