First Name:

Last Name:

Year of High School Graduation:

Date of Birth:

Address 1:

Address 2:

City:

State:
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Postal Code:

Country:

Email:

Phone:

Current School:

School Phone:

School City:

School State:
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GPA:

Intended college major:

SAT/ACT Results:

Are you planning a campus visit? If so, when?:

Do you plan to apply for financial aid?
Yes
No

List any academic honors you have received

List any other colleges you are considering

High School Coach:

Coach Work Phone:

Coach Home Phone:

Coach e-mail:

Years experience (JV, Varsity, Other):

Team honors and/or accomplishments:

Individual honors and/or accomplishments (including any relevant stats):

Position:
Driver
Crew

Other high school varsity sports: