Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Email Address
*Please enter valid Email Address
Home Address1
*Please enter valid Home Address1
City
*Please enter valid City
State
*Please enter valid State
Zip
*Please enter valid Zip
Contact Number
*Please enter valid Contact Number
Cell Phone Number
*Please enter valid Cell Phone Number
High School Graduation Year
*Please enter valid High School Graduation Year
Date of Birth
*Please enter valid Date of Birth
Friends and Family who have attended Loras
*Please enter valid Friends and Family who have attended Loras
Top 3 colleges you are considering
*Please enter valid Top 3 colleges you are considering
Background

Mother's Name
*Please enter valid Mother's Name
Mother's Occupation
*Please enter valid Mother's Occupation
Father's Name
*Please enter valid Father's Name
Father's Occupation
*Please enter valid Father's Occupation
Academic

High School
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School
Counselors Name
*Please enter valid Counselors Name
Counselors Phone
*Please enter valid Counselors Phone
Class Rank
*Please enter valid Class Rank
GPA
*Please enter valid GPA
ACT
*Please enter valid ACT
Intended Major
*Please enter valid Intended Major
Athletic

Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Position




*Please enter valid Position
Points Per Game
*Please enter valid Points Per Game
Rebounds Per Game
*Please enter valid Rebounds Per Game
Assists Per Game
*Please enter valid Assists Per Game
HS Coach's Name
*Please enter valid HS Coach's Name
HS Coach's Phone Number
*Please enter valid HS Coach's Phone Number
Basketball honors
*Please enter valid Basketball honors
Other sports played during senior year
*Please enter valid Other sports played during senior year