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Personal Information
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Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
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Country:
Do you anticipate qualifiying for need based aid?:
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If yes, family income::
Under $60,000
$60,000-$100,000
Over $100,000
Parent/Guardian Contact Information
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Last Name: *
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Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
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Athletic Director
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College Name:
Occupation:
Employer:
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
*Required
College Name:
Occupation:
Employer:
Athletic Information
Primary Position: *
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Secondary Position:
Club Jersey Number:
Academic Information
GPA: *
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Class Rank/Class size:
SAT:
SAT Math:
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SAT Written:
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ACT:
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School Information
School Name: *
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School State: *
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MS
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OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
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AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
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UN
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PR
VI
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School Coach Information
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Club Team Information
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Club Team Coach Information
Your Coach:
Select your head coach
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