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
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
Mother's Alma Mater
*Please enter valid Mother's Alma Mater
Mother's Occupation
*Please enter valid Mother's Occupation
Father's Name
*Please enter valid Father's Name
Father's Phone Number
*Please enter valid Father's Phone Number
Father's Alma Mater
*Please enter valid Father's Alma Mater
Father's Occupation
*Please enter valid Father's Occupation
Siblings (name/age)
*Please enter valid Siblings (name/age)
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
Class Rank
*Please enter valid Class Rank
GPA
*Please enter valid GPA
SAT Total
*Please enter valid SAT Total
ACT
*Please enter valid ACT
Academic Honors
*Please enter valid Academic Honors
Intended Major
*Please enter valid Intended Major
Other College Choices
*Please enter valid Other College Choices
Athletic

Position



*Please enter valid Position
Recruiting Website
*Please enter valid Recruiting Website
AAU Team
*Please enter valid AAU Team
AAU Coach's Name
*Please enter valid AAU Coach's Name
AAU Coach's Number
*Please enter valid AAU Coach's Number
High School Coach's Name
*Please enter valid High School Coach's Name
H.S. Coach's Number
*Please enter valid H.S. Coach's Number
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
PPG (Varsity)
*Please enter valid PPG (Varsity)
RPG (Varsity)
*Please enter valid RPG (Varsity)
APG (Varsity)
*Please enter valid APG (Varsity)
Athletic Honors
*Please enter valid Athletic Honors
Other sports played
*Please enter valid Other sports played
Compliance

OFFICIAL VISIT
*Please enter valid OFFICIAL VISIT
Date of Arrival
*Please enter valid Date of Arrival
Beginning of 48 HR Period AM/PM
*Please enter valid Beginning of 48 HR Period AM/PM
Date of Departure
*Please enter valid Date of Departure
End of 48 HR Period AM/PM
*Please enter valid End of 48 HR Period AM/PM
PSA Method of Travel



*Please enter valid PSA Method of Travel
Other Transportation
*Please enter valid Other Transportation
PSA Lodging Name of hotel or dorm
*Please enter valid PSA Lodging Name of hotel or dorm
SA Host Name
*Please enter valid SA Host Name
Person(s) Accompanying PSA
*Please enter valid Person(s) Accompanying PSA
Is lodging to be provided to Parent/Guardian?

*Please enter valid Is lodging to be provided to Parent/Guardian?
Name of hotel Parent/Guardian
*Please enter valid Name of hotel Parent/Guardian
Meal Card Needed?

*Please enter valid Meal Card Needed?
Date(s) & Meal(s)
*Please enter valid Date(s) & Meal(s)
UNOFFICIAL VISIT
*Please enter valid UNOFFICIAL VISIT
Unofficial Date of Arrival
*Please enter valid Unofficial Date of Arrival
Unofficial Date of Departure
*Please enter valid Unofficial Date of Departure
Meal Provided?

*Please enter valid Meal Provided?
PSA Lodging Provided?

*Please enter valid PSA Lodging Provided?
Name of SA Host
*Please enter valid Name of SA Host
Relationship to PSA
*Please enter valid Relationship to PSA
NLI REQUEST
*Please enter valid NLI REQUEST
Period of Award
*Please enter valid Period of Award
Type of Award
*Please enter valid Type of Award
NLI Status







*Please enter valid NLI Status
Tuition Partial Amount
*Please enter valid Tuition Partial Amount
Books Partial Amount
*Please enter valid Books Partial Amount
Room Partial Amount
*Please enter valid Room Partial Amount
Board Partial Amount
*Please enter valid Board Partial Amount
COMPLIANCE NOTES
*Please enter valid COMPLIANCE NOTES
Transcript Evaluation Complete

*Please enter valid Transcript Evaluation Complete
Transfer Student

*Please enter valid Transfer Student
Transfer Type
*Please enter valid Transfer Type
Other Transfer Type
*Please enter valid Other Transfer Type
School Status









*Please enter valid School Status
Partial Amount
*Please enter valid Partial Amount