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Personal Information
First Name: *
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HS Grad Year: *
2020
2021
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Middle Name:
Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
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Last Name: *
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Email Address: *
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Preferred Name:
Home Phone:
Height: *
ft.
in.
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Mobile Phone: *
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Weight: *
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Facebook:
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Twitter:
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Instagram:
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Skype:
State: *
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*Required
Whats App:
Zip: *
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Rowing Information
2K:
2K Date Pulled:
*You must enter the date in the format: mm/dd/yyyy
5K:
5K Date Pulled:
*You must enter the date in the format: mm/dd/yyyy
6K:
6K Date Pulled:
*You must enter the date in the format: mm/dd/yyyy
Number of Years Rowing:
Best Rowing Results:
Parent/Guardian Contact Information
First Name: *
*Required
Last Name: *
*Required
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
*Required
Phone:
Mobile Phone:
Email:
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College Name:
Occupation:
Employer:
Work Phone:
Ext:
Siblings (Names & 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
Phone:
Mobile Phone:
Email:
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College Name:
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:
Mobile Phone:
Email:
*Invalid email address
College Name:
Occupation:
Employer:
Work Phone:
Ext:
Academic Information
School Name: *
Clear
*Required
GPA: *
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School City: *
*Required
SAT Composite:
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
*Required
SAT Test Date:
*You must enter the date in the format: mm/dd/yyyy
ACT Composite:
ACT Test Date:
*You must enter the date in the format: mm/dd/yyyy
Class Rank:
Out Of:
TOEFL:
Intended Major:
Have You Joined the Eligibility Center?:
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Eligibility ID:
High School Coach Information
Your Coach:
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First Name:
Last Name:
Email:
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Work Phone:
Mobile Phone:
Club Information
Club Name:
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Club Coach Cell Phone:
Your Coach:
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Club Coach First Name:
Club Coach Work Phone:
Club Coach Last Name:
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Non-Rowers
Other Sports:
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