Soccer Recruit Interest Form

Athletes, share your interest in joining the Red Raven Soccer Team by completing the interest form below. If you have questions, please email Head Coach Courey Feerer at coureyf@coffeyville.edu or call 620-252-7056.

Please provide the following information

Name:

Email Address:

Home Address:

City:

State:

Zip Code:

Home Telephone:

Cell Telephone:

Social Security Number (Optional):

Gender: Male Female

Age:

Father's Name:

Mother's Name:

Player's High School:

School Address:

City:

State:

Zip:

School Telephone:

Graduation Year:

SAT: ACT: GPA:

Academic Interest (1):

Academic Interest (2):

Academic Honors:

Best Position (1):

Best Position (2):

Height: Weight:

Athletic Honors:

Head Coach Name:

Head Coach Email:

Head Coach Telephone:

Club Team:

Club Coach Name:

Club Coach Telephone:

List Other Sports Played:

Colleges you are considering:

Comments:

(Please click only once. It may take several moments for the form to be processed. Once processed, you will be sent to a confirmation page.)