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UDA SOCCER AT NMSU

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Academic Application

Contact apply@udaus.org for academic application details

UDA-US Academy Application

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mobile Phone Number *

Date of Birth *

What kind of activities are you involved with? *

State reasons for wanting to attend the academy: *

Do you have a specific medical condition? *

Yes No

If yes, please give details: *

Do you have any criminal convictions? *

Yes No

Nationality *

Background

Mother's Name *

First

Last

[object Object]

Mother's Phone Number *

Mother's Email *

Father's Name *

First

Last

Father's Phone Number *

Father's Email *

Academic

Year of graduation from High School: *

High School / College Name *

School Address *

Line 1

Line 2

City

State

Zip Code

Country

CEEB Code *

School Phone Number *

Counselor's Name *

First

Last

Counselor's Phone Number *

Counselor's Email *

Class Rank *

GPA *

Intended Major *

Other College Choices *

Has Applied *

Yes No

Soccer Reference *

Letter of Recommendation *

Athletic

Position *

Goalkeeper Defender Midfielder Attacker Forward Unknown

Recruiting Website *

Tournaments Attending *

Jersey Number *

Submit

A Division of

UDA Soccer High School Program
Find out more about the new UDA Soccer Program at Menaul High School.

udamenaul.org

Interested in recruiting for UDA?
UDA Is Seeking Recruitment Representatives For
Selected North American Regions

Recruiter Inquiries

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