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Personal Information

Prospect Code:

First Name: *

Last Name: *

Middle Name:

Preferred Name:

Email: *

Address: *

City: *

State:

Zip: *

Country:

Phone: *

Mobile/Alt. Phone:

Gender:

Date of Birth: *

Hobbies:

Are your parents UNC graduates?: *

Athletic Information

Height: *

ft.in.

Hand:

Fencing Club:

USFA Classification:

Primary Coach:

National Junior Point Rank::

Weapon:

NCAA EC ID#:

Academic Information

SAT:

SAT Math:

SAT Verbal:

ACT:

GPA: *

Class: *

Class Rank:

Grad Year: *

Registered with NCAA EC?: *

Intended Major:

School Information

School Name: *

Clear

School Address 1: *

School Address 2:

School City: *

School State: *

School Zip: *

School Country:

Phone:

Fax:

Club Coach Information

Your Coach:

First Name: *

Last Name: *

Email: *

Mobile Phone:

Work Phone: