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Personal Information
Prospect Code:
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Email: *
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
Mailing Address: *
Country: *
City: *
Mobile/Alt. Phone:
Zip:
Date of Birth: *
Phone: *
Volunteer and Leadership Experience: *
Citizenship: *
USA Citizen or USA National
USA Dual Citizen
USA Permanent Resident
USA Refugee or Asylee
Non of the above
Instagram Account: *
How do you identify yourself?: *
American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Pacific Islander
White
Facebook: *
Place of Birth:
Twitter: *
NCAA Eligibility Center Number: *
HUDL: *
Will You Be Needing Financial Aid?: *
Yes
No
1st Generation (neither of your parents graduated from a 4-year college with a bachelor’s degree): *
YES
NO
You need to be certified by the NCAA Eligibility Center to compete in NCAA Division I. Eligibility Center Link: https://web3.ncaa.org/ecwr3/register/CERTIFICATION
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:
Athletic Information
Height: *
ft.
in.
Weight: *
Position(s): *
Other sports: *
Link to Film (NA if you have none): *
40yd time: *
Other Position played:
LH Prop
Hooker
TH Prop
Left Lock
Right Lock
Blindside Flanker
Openside Flanker
No. 8
Scumhalf
Flyhalf
Left Wing
Inside Center
Outside Center
Right Wing
Fullback
Kicker:
Elite Experience:
Beep/Yo-yo Test Level:
3 rep Deadlift:
3 rep Squat:
3 rep Bench:
Academic Information
Intended Major:
GPA: *
HS Grading Scale (e.g. 4.0, 5.0, Six-Point System, 11-point system): *
1st College Preference:
SAT Math score: *
2nd College Preference:
SAT Writing Score: *
ACT: *
High School Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
School Information
School Name: *
Clear
School Address 1: *
School Address 2:
School City: *
School Zip:
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
Phone:
School Country:
Guidance Counselor's First Name: *
Fax:
Guidance Counselor's Email: *
Guidance Counselor's Last Name: *
Guidance Counselor's Phone: *
Guidance Counselor's Fax:
School or Club 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: *
Team 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
Team Country: *
Work Phone:
Mobile Phone: *
Website: *
Team Information
Team Name: *
Clear
Team City: *
Team Zip: *
Phone: *