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GENERAL INFORMATION:
First Name:
Middle Initial:
Last Name:
Telephone:
Address:
City:
State:
Zip:
Email Address:
Mother/Guardian:
Occupation:
Business Phone:
Father/Guardian:
Occupation:
Business Phone:
Brothers:
Sisters:
Date of Birth:
Age:
ACADEMIC INFORMATION:
Name of High School:
Guidance Counselor:
Telehone:
High school graduation date:
S.A.T. Scores:
CR:
M:
W:
ACT Score:
Class Rank:
out of
GPA:
Please list your academic interest(s) or major field(s) of study:
ATHLETIC INFORMATION:
Individual Honors/Awards:
Club Team:
Position:
Jersey Number:
Height:
Weight:
Club Team Coach:
Telephone:
E-mail:
High School Coach:
Telephone:
E-mail:
High School Jersey Number:
Other sports played:
Do you have a game or highlight tape?
Yes
No
Do you have a schedule of your upcoming AAU/high school season?
Yes
No
What other varsity sports do you want to play in college?