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Personal Information
Prospect Code:
First Name: *
Last Name: *
Middle Name:
Preferred Name: *
Gender: *
M
F
Address:
City:
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
Zip:
Country:
Phone:
Mobile/Alt. Phone:
Email: *
Twitter:
Instagram:
Snapchat:
Date of Birth: *
Brothers/Sisters (include names and ages):
Parent/Guardian Contact Information
Father's Name: *
Father's 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: *
Father's Cell Phone:
Father's Email:
Father's Alma Mater:
Father's Occupation:
Employer:
Work Phone:
Ext:
Academic Information
Have you registered with the NCAA Clearinghouse?: *
Yes
No
Eligibility Center ID:
High School/Junior College Name:
Clear
School Phone:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Guidance Counselor's Name:
Guidance Counselor's Phone:
College Name (if applicable):
College GPA (if applicable):
Academic Honors:
Intended Major:
SAT Written:
SAT Verbal:
SAT Math:
Core GPA:
ACT:
TOEFL Score:
Did you request that your test scores be sent to UT Austin?:
Yes
No
Athletic Information
Height:
ft.
in.
Weight:
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
Coach's Name:
Coach's Email:
Coach's Phone:
Club Team:
Club Coach's Name:
Club Coach's Phone:
Club Coach's Email:
Please select your Event Discipline:
Sprint/Hurdles/Relays
Throws
Vertical Jumps
Horizontal Jumps
Distance
Multis
Event 1:
100m
200m
400m
800m
1,600m
3,200m
Steeplechase
High Hurdles
100/110m Hurdles
Intermediate Hurdles
300/400m Hurdles
Long Jump
Triple Jump
Shot Put
Discus
Pole Vault
High Jump
Javelin
Hammer
Weight Throw
Event 1 Personal Best: FR:
Event 1 Personal Best: SO:
Event 1 Personal Best: JR:
Event 1 Personal Best: SR:
Event 2:
100m
200m
400m
800m
1,600m
3,200m
Steeplechase
High Hurdles
100/110m Hurdles
Intermediate Hurdles
300/400m Hurdles
Long Jump
Triple Jump
Shot Put
Discus
Pole Vault
High Jump
Javelin
Hammer
Weight Throw
Event 2 Personal Best: FR:
Event 2 Personal Best: SO:
Event 2 Personal Best: JR:
Event 2 Personal Best: SR:
Event 3:
100m
200m
400m
800m
1,600m
3,200m
Steeplechase
High Hurdles
100/110m Hurdles
Intermediate Hurdles
300/400m Hurdles
Long Jump
Triple Jump
Shot Put
Discus
Pole Vault
High Jump
Javelin
Hammer
Weight Throw
Event 3 Personal Best: FR:
Event 3 Personal Best: SO:
Event 3 Personal Best: JR:
Event 3 Personal Best: SR:
Event 4:
100m
200m
400m
800m
1,600m
3,200m
Steeplechase
High Hurdles
100/110m Hurdles
Intermediate Hurdles
300/400m Hurdles
Long Jump
Triple Jump
Shot Put
Discus
Pole Vault
High Jump
Javelin
Hammer
Weight Throw
Event 4 Personal Best: FR:
Event 4 Personal Best: SO:
Event 4 Personal Best: JR:
Event 4 Personal Best: SR:
Other Sports:
Parent/Guardian Contact Information
Mother's Name: *
Mother's 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: *
Mother's Cell Phone:
Mother's Email:
Mother's Alma Mater:
Mother's Occupation:
Employer:
Work Phone:
Ext: