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Personal Information
Prospect Code:
First Name: *
Last Name: *
Email: *
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Date of Birth: *
Facebook Email:
Twitter Handle:
Address: *
City: *
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Hobbies:
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Parent/Guardian Contact Information
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Last Name: *
Relationship: *
Father
Mother
Alternate
Step Mother
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Uncle
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Grandfather
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Aunt
Friend
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Brother
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Other
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Home Phone: *
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College Attended:
Employer:
Occupation:
Work Phone:
Extension:
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
Home Phone: *
Mobile Phone:
Email:
College Attended:
Employer:
Occupation:
Work Phone:
Extension:
Athletic Information
Primary Position:
Secondary Position:
Height: *
ft.
in.
Weight: *
HS Jersey #:
Dominant Hand:
Years Played on Varsity Lacrosse:
Eligibility ID #:
40 Time:
Mile Time:
Athletic Honors:
School Coach Information
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First Name: *
Last Name: *
Title: *
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Club Team Information
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Club Team Jersey #:
Address: *
Address 2:
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Mascot:
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Academic Information
SAT Math:
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GPA: *
Class: *
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Grad Year: *
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2032
Class Rank:
Intended Major:
Registered with Clearinghouse: *
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1st College Preference:
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3rd College Preference:
Top 3 Priorities in Choosing a School?:
Top 3 Reasons for Stetson:
Academic Honors:
School Information
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IL
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KY
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ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
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ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
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AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Zip:
Country:
Website:
Mascot:
Colors:
Principal's First Name:
Principal's Last Name:
Principal's Email:
Principal's Phone:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Phone:
Guidance Counselor's Fax:
Guidance Counselor's Email:
Registrar's First Name:
Principal's Fax:
Registrar's Last Name:
Registrar's Email:
Registrar's Phone:
Registrar's Fax: