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
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
CellPhone Number
*Please enter valid CellPhone Number
Graduation Year
*Please enter valid Graduation Year
NCAA Eligibility ID#
*Please enter valid NCAA Eligibility ID#
Background

Date of Birth
*Please enter valid Date of Birth
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
Parent's Marital Status
*Please enter valid Parent's Marital Status
Brothers/Sisters
*Please enter valid Brothers/Sisters
Friends/Relatives Affiliated with Augustana
*Please enter valid Friends/Relatives Affiliated with Augustana
Academic

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

Position
*Please enter valid Position
Secondary Position
*Please enter valid Secondary Position
Recruiting Website
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Jersey #
*Please enter valid Jersey #
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
40
*Please enter valid 40
Bench
*Please enter valid Bench
Vertical
*Please enter valid Vertical
Other Sports
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Athletic Honors
*Please enter valid Athletic Honors
HS Coach
*Please enter valid HS Coach
HS Coach Home Phone
*Please enter valid HS Coach Home Phone
HS Coach Office Phone
*Please enter valid HS Coach Office Phone
HS Coach Email Address
*Please enter valid HS Coach Email Address
HS Coach Cell Phone
*Please enter valid HS Coach Cell Phone