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Personal Information
Prospect Code:
First Name: *
*Required
Middle Name:
Last Name: *
*Required
Preferred Name:
Address: *
*Required
City: *
*Required
State: *
AL
AK
AR
AS
AZ
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
*Required
Zip: *
*Required
Email: *
*Required
*Invalid email address
Cell Phone: *
*Required
Home Phone:
Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
*Required
Facebook Name:
Twitter Name:
Family Information
My Parents Are:
Married
Divorced
Single
Widowed
Other
I live with:
Mother
Father
Both Parents
Legal Guardian
Other
Mother & Step-Father
Grandma
Both
Names & age of siblings:
College of Siblings:
Father's Information
Father's Address:
Father's City:
Father's State:
Father's Zip:
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
Father's Phone: *
*Required
Phone:
Email:
*Invalid email address
Father's College:
Occupation:
Employer:
Work Phone:
Ext:
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
Mother's Address:
Mother's City:
Phone: *
*Required
Mobile Phone:
Mother's State:
Mother's Zip:
Email:
*Invalid email address
Mother's College:
Occupation:
Employer:
Work Phone:
Ext:
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: *
*Required
Address:
Phone:
Email:
*Invalid email address
City:
State:
Zip:
College Name:
Occupation:
Employer:
Work Phone:
Ext:
Athletic Information
Offensive Pos 1:
QB
WR
TE
RB
FB
OL
OT
OC/OG
Offensive Pos 2:
QB
WR
TE
RB
FB
OL
Spec Pos:
K
P
ATH
RET
LS
Defensive Pos 1:
CB
FS
SS
ILB
OLB
DE
DT
S
Defensive Pos 2:
CB
FS
SS
ILB
OLB
DE
DT
Preferred Position:
QB
WR
TE
RB
FB
OL
CB
FS
SS
ILB
OLB
DE
DT
K
P
ATH
RET
LS
OC/OG
ATHO
ATHD
Squat Lift:
40 Yard:
Bench:
200 Meter:
Vertical Jump:
ft.
in.
100 Meter:
Clean Lift:
400 Meter:
Height:
ft.
in.
Weight:
Jersey Number:
Other Sports:
My online video link is:
Athletic Honors:
Academic Information
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*Required
GPA (4.0 Scale): *
*Required
*Invalid GPA
Interested Major:
Class Rank:
SAT Math:
SAT Verbal:
SAT Writing:
ACT:
PSAT:
Registered with Eligibility Center: *
Yes
No
*Required
NCAA ID#:
School Information
School Name: *
Clear
*Required
School Address 1:
School City:
School State:
AL
AK
AR
AS
AZ
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:
School Phone:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
Coach's First Name:
Coach's Last Name:
Coach's Phone:
General Information
My top priorities in choosing a college are
1:
2:
3:
UI students & alums that I know are:
Favorite hobbies:
Favorite Pro Team:
The person that will help me choose a college:
Cell phone:
Schools I plan to visit: 1:
2:
3:
4:
5:
Transcript Release
I authorize the release of my transcript and test scores to UNIVERSITY OF IOWA:
Yes
No