Personal Information Prospect Code: First Name: * Last Name: * Middle Name: Preferred Name: Email: * Facebook Email: Address: * 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 City: * Country: Zip: Phone: * Cell Phone: Gender: M F Date of Birth: * Hobbies: Siblings Names and Ages:   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: Home Phone: * Mobile Phone: Work Phone: Extension: College Attended: Occupation: Employer:   None 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: * Mobile Phone: Work Phone: Extension: College Attended: Occupation: Employer:   Athletic Information Height: * ft.in. Weight: * Current Trainer Name: Current Trainer Phone: Riding Instructor's E-mail: Riding Instructor's website: List any previous trainers: # Years of Riding Experience: List any injuries or surgeries: ENGLISH Assoc competed in (i.e. AQHA, USEF): WESTERN Assoc competed in (i.e. AQHA, NRHA): Upcoming Show Schedule: List Medal Finals you've qualified or competed: Have you submitted a video?: Yes No If not, when can we expect a video?:   Academic Information SAT: SAT Math: SAT Verbal: ACT: GPA: * 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 Class Rank: Intended Major: Registered with NCAA Eligibility Center: * Yes No If yes, what is your 10 digit identification #?: Have you applied to Fresno State?: Yes No Have you visited Fresno State?: Yes No List any academic honors: List any financial aid or scholarships you expect receive: Junior College attended: JC Date Entered: JC Date Completed: Have you completed your AA/AS degree?: Yes No When will you complete your AA/AS degree?:   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: Title: *   Work Phone: Mobile Phone: Home Phone:   School Information School Name: * Clear Address1: * Address2: 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: Fax: Mascot: Colors: Website: Guidance Counselor's First Name: Guidance Counselor's Last Name: Guidance Counselor's Email: Guidance Counselor's Phone: Guidance Counselor's Fax:   Points of Interest Do you know anyone on the Fresno Equestrian Team?: Yes No 1st College Preference: 4th College Preference: 2nd College Preference: 5th College Preference: 3rd College Preference: Which of these schools do you plan to visit?: How many years have you been competings in event(s)?: Please list showing career highlights: Academic/Awards/Leadership during High School: How familiar are you with Varsity Equestrian?: Identify the event you are most interested in competing in: Tell us some of the determining factors for choosing Fresno:

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