Salve Regina University

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Men's Soccer Prospect Profile Form

Thank you for your interest in Salve Regina University men's soccer. If you are interested in trying out for varsity men's soccer please complete the following two-step process which will allow you to receive information from both our admissions office and Coach O'Rourke.

  1. Complete the information for coach below. This allows you to ask specific men's soccer questions, and upon submission, will be emailed directly to the coach.
  2. Complete the admissions office request for information form. This will allow admissions office mailings, such as course catalogs and viewbooks, to be sent to you.

Athlete Information

First Name:
Last Name:
Street Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:
Date of Birth (mm/dd/yyyy):

Academic information

Last school attended:
Grade Point Average:
SAT Verbal:
SAT Math:
SAT Written:
ACT:
Desired major or academic interest:
Other schools considering:

Athletic Information

Coaching reference:
Coach's phone:
Coach's email:
Club team:
Soccer position:
Dominant foot:
Left
Right
Height:
Weight:

Questions or comments for coach?

Please provide any additional information or any questions that you may have for coach.