Personal Information First Name: * Last Name: * Middle Name: Preferred Name: Email: * Grad Year: * 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 Address: * City: * Zip: 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 Home Phone: * Country: Gender: M F Cell Phone: * How did you first hear MIT Crew?: * Friend or Relative College Fair Campus Tour Online questionnaire I emailed an MIT Coach Saw MIT compete at race Other Received an email from MIT coach Date of Birth: * I'm a potential transfer from another college: * No Yes   Athletic Information Height: * ft.in. Weight: * Best 2K ERG: * Wingspan in inches: ft.in. Team Name: * Clear Other Erg Scores (6k, 4k): Rowing Results/Honors: Other Athletic Info. (Other Sports/Results/Honors):   Academic Information Class: * High School 2-Year College 4-Year College Post-High School, Non-College SAT Math: ACT: GPA: * Class Rank: SAT Critical Reading: Registered with Clearinghouse: * Yes No SAT Writing: Academic Interest(s): * SAT SUBJECT TEST 1 NAME: Other Schools You Are Considering: SCORE: SAT SUBJECT TEST 2 NAME: SCORE: SAT SUBJECT TEST 3 NAME: SCORE: AP TESTS (subject-score/ list all available):   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 Home Phone: * Mobile Phone: Email:   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 Home Phone: * Mobile Phone: Email:   School Information School Name: * Clear 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 Phone: Country: Website: Guidance Counselor: Guidance Counselor's Email: Guidance Counselor's Phone: Guidance Counselor's Fax:   Team 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: *   School/Club: 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 Phone: Email: *   Other Coach: School/Club: Phone: Email:   Supplementary Information NON-ATHLETIC ACTIVITIES/HONORS:

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