Thank you for your interest in the University of Wisconsin-Platteville Women's Soccer Program.

Personal Information

First Name

Middle Initial

Last Name

Street Address
City, State, Zip Code

Home Phone

E-mail Address

Father's Name

Father's Occupation

Mother's Name

Mother's Occupation

Names and Ages of Brothers and/or Sisters

Are you a transfer student?
Yes No

If yes, what school?

Semester You Plan on Transferring

High School

Head Coach

Intended Major

Class Rank

SAT Score

ACT Score

Grade-Point Average

Date of Graduation

Academic Honors

Friends or Family Attending or Who Have Attended UW-Platteville

Height

Weight

Position(s)

Other Sports in Which You Participate

Athletic Honors