| Personal Information |
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| Full Name* |
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| Address* |
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| City* |
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| State* |
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| Zip Code* |
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| Home Phone |
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| Cell Phone* |
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| Email Address* |
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| Age* |
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| Date of Birth* |
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| Academic Information |
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| Intended Major |
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| High School Attended* |
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| High School Graduation (Mo./Yr.) |
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| SAT Total Score |
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| SAT Math Score |
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| SAT Critical Reading Score |
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| SAT Writing Score |
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| Class Rank |
of |
| GPA |
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| Are you transferring from another college?* |
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| If yes, where are you transfering from and dates attended?* |
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| Athletic Information |
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| Sport(s) Interested In* |
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| Position(s) |
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| Height |
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| Weight |
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| Teams which you currently play on |
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| Coach(es) Names and Phone Numbers |
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| Athletic Awards/Honors |
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