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
Home Phone Number
*Please enter valid Home Phone Number
CellPhone Number
*Please enter valid CellPhone Number
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 Email Address
*Please enter valid Mother's Email Address
Father's Name
*Please enter valid Father's Name
Father's Phone Number
*Please enter valid Father's Phone Number
Father's Email Address
*Please enter valid Father's Email Address
Siblings
*Please enter valid Siblings
Academic

Current Institution
*Please enter valid Current Institution
I Have Registered with the Eligibility Center

*Please enter valid I Have Registered with the Eligibility Center
NCAA Eligibility #
*Please enter valid NCAA Eligibility #
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
Have you attended another HS?

*Please enter valid Have you attended another HS?
If Yes, Specify
*Please enter valid If Yes, Specify
Have you ever taken classes at another school?



*Please enter valid Have you ever taken classes at another school?
If Yes, Please List
*Please enter valid If Yes, Please List
Class Rank
*Please enter valid Class Rank
GPA
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Critical Reading
*Please enter valid SAT Critical Reading
SAT Writing
*Please enter valid SAT Writing
SAT Total
*Please enter valid SAT Total
SAT Date Taken
*Please enter valid SAT Date Taken
SAT (File Upload)
*Please enter valid SAT (File Upload)
ACT
*Please enter valid ACT
ACT Date Taken
*Please enter valid ACT Date Taken
ACT (File Upload)
*Please enter valid ACT (File Upload)
Academic Honors
*Please enter valid Academic Honors
Transcripts
*Please enter valid Transcripts
Intended Major
*Please enter valid Intended Major
HS Coaches Name
*Please enter valid HS Coaches Name
HS Coaches Phone Number
*Please enter valid HS Coaches Phone Number
HS Coaches Email
*Please enter valid HS Coaches Email
HS Website
*Please enter valid HS Website
Graduation Year
*Please enter valid Graduation Year
School Phone Number
*Please enter valid School Phone Number
Counselor's Name
*Please enter valid Counselor's Name
Counselor's Phone
*Please enter valid Counselor's Phone
Counselor's Email
*Please enter valid Counselor's Email
Core GPA
*Please enter valid Core GPA
Athletic

Position(s)



*Please enter valid Position(s)
Recruiting Website
*Please enter valid Recruiting Website
Youtube Link
*Please enter valid Youtube Link
AAU Team
*Please enter valid AAU Team
AAU Coach's Name
*Please enter valid AAU Coach's Name
AAU Coach's Phone Number
*Please enter valid AAU Coach's Phone Number
AAU Coach's Email
*Please enter valid AAU Coach's Email
AAU Team's Website
*Please enter valid AAU Team's Website
AAU ID
*Please enter valid AAU ID
Height
FeetInch
*Please enter valid Height
Rose Classic Dates
*Please enter valid Rose Classic Dates
Fall 2012 Tournaments





*Please enter valid Fall 2012 Tournaments
Summer 2013 Tournaments





*Please enter valid Summer 2013 Tournaments
Spring 2013 Tournaments




*Please enter valid Spring 2013 Tournaments