Fields marked with * are mandatory
General

Legal First Name *
*Please enter valid Legal First Name
Last Name *
*Please enter valid Last Name
Preferred Name
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Middle Name
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Email Address *
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Home Address1 *
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Home Address2
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City *
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State *
*Please enter valid State
Zip *
*Please enter valid Zip
Country
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Citizenship
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Home Phone Number
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Cell Phone Number
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Graduation Year *
*Please enter valid Graduation Year
Ethnicity (optional)
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Have you visited campus?
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Date of Birth
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Overnight Visit
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Background

Mother's Name
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Mother’s Occupation
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Father's Name
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Father’s Occupation
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Do you have a sibling enrolled in college?

*Please enter valid Do you have a sibling enrolled in college?
If yes, which school?
*Please enter valid If yes, which school?
Do you know anyone enrolled at Susquehanna?
*Please enter valid Do you know anyone enrolled at Susquehanna?
Do you know anybody who has attended Susquehanna?
*Please enter valid Do you know anybody who has attended Susquehanna?
Academic

High School
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
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GPA
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SAT Math
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SAT Verbal
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SAT Total
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ACT
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PSAT Math
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PSAT Writing
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PSAT Critical Reading
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PSAT Total
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Top 3 College Choices
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Academic Interests 1
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Academic Interests 2
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Academic Interests 3
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Student Type

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Athletic

Position






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Height
FeetInch
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Weight
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Dominant Hand

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Years Varsity Starter
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Stats
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Other Sports
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Individual Awards
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Are You A Captain?

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Youtube Link
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High School Coach’s Name
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High School Coach’s Phone Number
*Please enter valid High School Coach’s Phone Number
High School Coach’s E-mail Address
*Please enter valid High School Coach’s E-mail Address
Club Team
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Club Team Coach’s Name
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Club Team Coach’s Phone Number
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Club Team Coach’s E-mail
*Please enter valid Club Team Coach’s E-mail
Summer Recruiting Events Attending

































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Any Other Recruiting Events Attending
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Fall Recruiting Events Attending
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