Merrimack Men's Soccer Recruiting Questionnaire
ATTN: Head Coach Tony Martone
315 Turnpike St.
North Andover, MA 01845

This form is not an official college application.

Personal Information


First Name:

Last Name:

Class Status in HS (So, Jr, Sr):





Home Phone:

Cell Phone:

Social Security #:


Date of Birth:

Father's Name:

Mother's Name:

Parents' Email

Parents are Married/Divorced/Seperated?

If divorced, who is primary contact?


Academic Information


High School Name:

College Name:
(if applicable)

High School Address:

High School Phone:

Guidance Counselor:

Expected High School Graduation Month/Year:

Intended major at Merrimack:

High School Grade-Point Average:

College Grade-Point Average:
(if applicable)

Class Rank:

 out of

Academic Honors:

(National Honor Society, class officer, etc.)



SAT Math Score:

SAT Verbal (Reading) Score:

SAT Written Score:

ACT Score:

Do you plan to take either test again?

Yes No

If yes, which one and when?

Have you registered with the NCAA Clearinghouse?

Yes No

If yes, what is the PIN # you received?

Have you already applied to Merrimack College?

Yes No

If no, when can we expect your application?

Do you intend to apply for financial aid at Merrimack?

Yes No

How important will financial aid be in your decision to
attend Merrimack? (very important, somewhat, little)

Other colleges you are applying to:


Athletic Information




I am primarily:

Right-footed Left-footed
Confident with both feet

Speed and Quickness Below Average Average
Above Average Exceptional

H.S. Position:

H.S. Uniform Number:

Number of Varsity Seasons:

H.S. Coach's Name:

H.S. Coach's Phone Number:

Club Team:

Club Team Position:

Club Uniform Number:

Number of Years at Current Club:

Club Coach's Name:

Club Coach's Phone Number:

ODP Team Name:
ODP Coach's Name:
ODP Coach's Phone Number:  

Athletic Honors:

(all-conference, all-state, all-area, etc.)

Team Highlights:

Career High School Statistics:

Any additional comments: