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Personal Information
Prospect Code:
First Name: *
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Last Name: *
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Middle Name:
Preferred Name:
Email: *
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Home Phone: *
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Cell Phone: *
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Address: *
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City: *
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State:
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Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
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Place of Birth:
Hobbies:
Twitter Account:
Reside with (ex: mom & step dad):
Facebook Account Name:
Siblings Names and Ages:
Facebook Email:
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List any family members who are or have attended Stanford:
NCAA Eligibility Center ID #:
List friends or those you know who are or have attended Stanford:
Parent/Guardian Contact Information
First Name: *
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Last Name: *
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Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
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Phone: *
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Mobile Phone:
Email: *
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College Name:
Occupation:
Employer:
Parent/Guardian Contact Information
First Name: *
*Required
Last Name: *
*Required
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
*Required
Phone:
Mobile Phone:
Email:
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College Name:
Occupation:
Employer:
Parent/Guardian Contact Information
First Name:
Last Name:
Relationship:
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
Phone:
Mobile Phone:
Email:
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College Name:
Occupation:
Employer:
Athletic Information
Height: *
ft.
in.
*Required
Weight:
Position:
2 Meters
2M Defender
Driver/Attacker
Goalie
Dominate Hand:
Right
Left
50 Free:
100 Breast:
100 Free:
100 Fly:
200 Free:
100 Back:
500 Free:
Water Polo Accolades:
Academic Information
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*Required
Class Rank / Size:
GPA: *
*Required
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Intended Major:
List any AP tests you are planning on taking & when:
Favorite Class:
List any AP test you have taken & Scores:
PSAT Scores:
SAT I Date Taken:
*You must enter the date in the format: mm/dd/yyyy
ACT I Date Taken:
*You must enter the date in the format: mm/dd/yyyy
SAT Verbal:
ACT Score:
SAT Math:
ACT score combined English/Writing:
SAT I Writing:
ACT Writing (2-12):
School Information
School Name: *
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School Address 1:
School Address 2:
School City:
School State:
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CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
School Zip:
Website:
School Country:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Email:
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Guidance Counselor's Phone:
Guidance Counselor's Fax:
School Coach Information
First Name:
Last Name:
Email:
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Mobile Phone:
Work Phone:
Club Team Information
Club Team Name:
Clear
Website:
Club Team Coach Information
First Name:
Last Name:
Email:
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Mobile Phone:
Work Phone:
Final Thoughts and Other Information you would like to share
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