Fields marked with * are mandatory
General

Legal First Name *
*Please enter valid Legal First Name
Preferred Name *
*Please enter valid Preferred Name
Last Name *
*Please enter valid Last Name
Email Address *
*Please enter valid Email Address
Home Address1 *
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
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
Graduation Year *
*Please enter valid Graduation Year
Country
*Please enter valid Country
Citizenship
*Please enter valid Citizenship
Date of Birth
*Please enter valid Date of Birth
Background

Mother's Name
*Please enter valid Mother's Name
Mother's Phone Number
*Please enter valid Mother's Phone Number
Occupation/Mother
*Please enter valid Occupation/Mother
Father's Name
*Please enter valid Father's Name
Father's Phone Number
*Please enter valid Father's Phone Number
Occupation/Father
*Please enter valid Occupation/Father
Submitted Video

*Please enter valid Submitted Video
Brother/Sisters Names
*Please enter valid Brother/Sisters Names
Friends & Family That Have Attended Beloit College
*Please enter valid Friends & Family That Have Attended Beloit College
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
School Phone Number
*Please enter valid School Phone Number
Class Rank
*Please enter valid Class Rank
GPA
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Writing
*Please enter valid SAT Writing
SAT Total
*Please enter valid SAT Total
ACT
*Please enter valid ACT
Academic Honors
*Please enter valid Academic Honors
Top 3 College Choices
*Please enter valid Top 3 College Choices
Student Type



*Please enter valid Student Type
Unofficial Transcript (PDF Only)
*Please enter valid Unofficial Transcript (PDF Only)
Resume (PDF Only)
*Please enter valid Resume (PDF Only)
School Profile (PDF Only)
*Please enter valid School Profile (PDF Only)
Test Scores (PDF Only)
*Please enter valid Test Scores (PDF Only)
Senior Class Schedule
*Please enter valid Senior Class Schedule
Other College Attending
*Please enter valid Other College Attending
Academic Interest 1
*Please enter valid Academic Interest 1
Academic Interest 2
*Please enter valid Academic Interest 2
Academic Interest 3
*Please enter valid Academic Interest 3
Athletic

Position







*Please enter valid Position
Recruiting Website
*Please enter valid Recruiting Website
Height
FeetInch
*Please enter valid Height
Jersey #
*Please enter valid Jersey #
Points/Game
*Please enter valid Points/Game
Rebounds/Game
*Please enter valid Rebounds/Game
Steals/Game
*Please enter valid Steals/Game
Assists/Game
*Please enter valid Assists/Game
Years as Starter
*Please enter valid Years as Starter
Team Record
*Please enter valid Team Record
Other sports wish to play in college
*Please enter valid Other sports wish to play in college
AAU Program
*Please enter valid AAU Program
AAU Coach Name
*Please enter valid AAU Coach Name
AAU Coach Phone
*Please enter valid AAU Coach Phone
AAU Coach Email
*Please enter valid AAU Coach Email
HS Coach Name
*Please enter valid HS Coach Name
HS Coach Phone
*Please enter valid HS Coach Phone
HS Coach Email
*Please enter valid HS Coach Email
Athletic Honors
*Please enter valid Athletic Honors