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Personal Information
Prospect Code:
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Weapon: *
Women's Epee
Women's Foil
Women's Saber
Men's Epee
Men's Foil
Men's Saber
Email: *
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:
Date of Birth: *
Place of Birth:
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 Number: *
Mobile Phone:
Email:
College Name:
Occupation:
Employer:
Work Phone:
Ext:
Parent/Guardian Information
Fencing Information
Number of Years Fencing: *
Handedness: *
Right
Left
USFA Rating (Rating and Year):
FIE Ranking, Senior:
USFA Ranking, Senior:
FIE Ranking, Junior:
USFA Ranking, Junior:
FIE Ranking, Cadet:
USFA Ranking, Cadet:
Best Results/Achievements: *
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:
College Name:
Occupation:
Employer:
Work Phone:
Ext:
Academic Information
Type of School: *
High School
2-Year College
4-Year College
Post-High School, Non-College
Year of Graduation: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Registered with Clearinghouse: *
Yes
No
GPA: *
Class Rank:
Plan on visit to Brown Campus:
Yes
No
SAT:
1st College Preference:
SAT Math:
2nd College Preference:
SAT Verbal:
3rd College Preference:
ACT:
Intended Major:
School Information
School Name: *
Clear
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: *
Phone:
School Country:
Fencing Club Information
Fencing Club Name:
Clear
Fencing Club 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
Fencing Club City:
Fencing Club Country:
Fencing Club Phone:
Fencing Club Website:
Fencing Coach Information
Your Fencing Coach(es):
Coach's Email:
Coach's Mobile Phone:
Coach's Work Phone:
Anything Else You'd Like Us to Know?
Anything Else You'd Like Us to Know?: