Personal Information Prospect Code: First Name: * Last Name: * Middle Name: Preferred Name: Gender: * M F Date of Birth: * Email: * Mobile/Alt. Phone: * Address: * Home Phone: Preferred Method of Contact: Mobile Phone Home Phone Email Via Coach 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: *   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 Email: Phone: *   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 Email: Phone:   Athletic Information Cross Country Event 1 Best Mark: :: Cross Country Event 2 Best Mark: :: 800m Best Time: :: 1500m/1600m Best Time: :: 3000m/3200m Best Time: :: Other Event Best Mark: Athletic Awards / Honors: Collegiate Goals / Expectations: What else would you like to tell us:   Academic Information Grad Year: * 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 Class: * High School 2-Year College 4-Year College Post-High School, Non-College GPA: * SAT Math: SAT Verbal: SAT: ACT: Class Rank: Academic Awards/Honors: Registered with Clearinghouse: * Yes No NCAA Registered PIN: Intended Major: 1st College Preference: 2nd College Preference: 3rd College Preference: Collegiate Goals:   School Information School Name: * Clear School Address 1: School Address 2: 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: Phone: Guidance Counselor's First Name: Guidance Counselor's Last Name: Guidance Counselor's Email: Guidance Counselor's Phone: Guidance Counselor's Fax:   School Coach Information Your Coach: Select your head coach My coach isn't in this list, I'll provide the information below First Name: *   Last Name: *   Email: *   Mobile Phone: Work Phone: