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Personal Information
Prospect Code:
First Name: *
Middle Name:
Last Name: *
Preferred Name:
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: *
Email: *
Cell Phone: *
Home Phone:
Date of Birth: *
Facebook Name:
Twitter Name:
Family Information
My Parents Are:
Married
Divorced
Single
Widowed
Other
I live with:
Mother
Father
Both Parents
Legal Guardian
Other
Mother & Step-Father
Grandma
Both
Names & age of siblings:
College of Siblings:
Father's Information
Father's Address:
Father's City:
Father's State:
Father's 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
Father's Phone: *
Phone:
Email:
Father's College:
Occupation:
Employer:
Work Phone:
Ext:
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
Mother's Address:
Mother's City:
Phone: *
Mobile Phone:
Mother's State:
Mother's Zip:
Email:
Mother's College:
Occupation:
Employer:
Work Phone:
Ext:
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: *
Address:
Phone:
Email:
City:
State:
Zip:
College Name:
Occupation:
Employer:
Work Phone:
Ext:
Athletic Information
Offensive Pos 1:
QB
WR
TE
RB
FB
OL
OT
OC/OG
Offensive Pos 2:
QB
WR
TE
RB
FB
OL
Spec Pos:
K
P
ATH
RET
LS
Defensive Pos 1:
CB
FS
SS
ILB
OLB
DE
DT
S
Defensive Pos 2:
CB
FS
SS
ILB
OLB
DE
DT
Preferred Position:
QB
WR
TE
RB
FB
OL
CB
FS
SS
ILB
OLB
DE
DT
K
P
ATH
RET
LS
OC/OG
ATHO
ATHD
Squat Lift:
40 Yard:
Bench:
200 Meter:
Vertical Jump:
ft.
in.
100 Meter:
Clean Lift:
400 Meter:
Height:
ft.
in.
Weight:
Jersey Number:
Other Sports:
My online video link is:
Athletic Honors:
Academic Information
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
GPA (4.0 Scale): *
Interested Major:
Class Rank:
SAT Math:
SAT Verbal:
SAT Writing:
ACT:
PSAT:
Registered with Eligibility Center: *
Yes
No
NCAA ID#:
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:
School Phone:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
Coach's First Name:
Coach's Last Name:
Coach's Phone:
General Information
My top priorities in choosing a college are
1:
2:
3:
UI students & alums that I know are:
Favorite hobbies:
Favorite Pro Team:
The person that will help me choose a college:
Cell phone:
Schools I plan to visit: 1:
2:
3:
4:
5:
Transcript Release
I authorize the release of my transcript and test scores to UNIVERSITY OF IOWA:
Yes
No