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Personal Information (Highlighted Fields Are Required. Input "N/A" or "0" for Not Applicable)
Prospect Code:
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Email: *
Address: *
City: *
State: *
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Zip:
Country:
Phone: *
Gender:
M
F
Date 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
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Coach
Other
Spouse
Parent
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Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
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Athletic Director
Phone: *
Email:
Athletic Information
Coach's Name: *
Coach's Phone Number: *
Height: *
ft.
in.
Jersey #:
Primary Position: *
Position 2:
Points Per Game:
Rebounds Per Game:
Field Goal Percentage:
Assists Per Game:
Vertical Jump:
Shots Per Game:
Are videos available: *
Yes
No
Steals Per Game:
If so, please provide a link:
Athletic Honors:
Academic Information
ACT: *
SAT: *
Do you plan to take either test again: *
Yes
No
High School GPA: *
Class Rank: *
High School Graduation Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Have you applied to CSC: *
Yes
No
Intended Major: *
Do you intend to apply for financial aid: *
Yes
No
Registered with Clearinghouse:
Yes
No
1st College Preference: *
2nd College Preference: *
3rd College Preference:
School Information
High School Name: *
Clear
Phone:
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:
School Country:
Name of previous College Attended: *
Graduation Year: *
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