Personal Information:

First Name: Last Name:

Address:

City: State: Zip:

Country:

Tel: Email:

DOB: / / Sex: M F

Citizenship:

Playing Experience:

Current Club:

Previous Club:

Previous Club:

Current League:

Player Status: Please Check One

Pro Amateur College Youth

Position:

Special Awards:

Personal Playing Goals/Status Questions:

Do you wish to use FARA to help you to become a professional soccer player? YES NO

Do you wish to use FARA to help you find a team to play for in a foreign country? YES NO

Are you interested in becoming a signed player with a foreign club? YES NO

Are you interested in FARA's assistance in arranging a player trial or training excursion? YES NO

Are you interested in assistance with: Foreign Clubs Domestic Clubs Both

For how long would you be willing to play in a foreign country? <6 months 6 mo- 1 year > 1 year

Are you currently a student? YES NO

If so, where are you currently enrolled and what month and year would you either graduate or become available? College High School Month Year

What languages do you have proficiency in?

What countries in particular would you be interested in playing in?

What is your specific interest in FARA?

Please attach your soccer CV through email.