Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Preferred First Name
*Please enter valid Preferred First Name
Middle Initial
*Please enter valid Middle Initial
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
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Cell Phone Number
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Date of Birth *
*Please enter valid Date of Birth
Picture
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Church Affiliation
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Are you a Transfer or Junior College Student?


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How did you hear about our program?







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Name of person who referred our program to you
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FAFSA

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Background

Mother's Name
*Please enter valid Mother's Name
Father's Name
*Please enter valid Father's Name
Siblings Names
*Please enter valid Siblings Names
Academic

High School Graduation Year *
*Please enter valid High School Graduation Year
High School Information
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School Information
Counselor's Name
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GPA
*Please enter valid GPA
ACT
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SAT Total
*Please enter valid SAT Total
SAT II (i)
*Please enter valid SAT II (i)
SAT II (ii)
*Please enter valid SAT II (ii)
Academic Honors
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Other College Choices
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Transcripts
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Student Type

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Academic Interest
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Athletic

Position(s)





























*Please enter valid Position(s)
Athletic Honors
*Please enter valid Athletic Honors
HS Head Coach Name
*Please enter valid HS Head Coach Name
HS Head Coach Email
*Please enter valid HS Head Coach Email
HS Head Coach Number
*Please enter valid HS Head Coach Number
Online Highlight Video
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Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
40 Time
*Please enter valid 40 Time
100M Time
*Please enter valid 100M Time
Vertical Jump
FeetInch
*Please enter valid Vertical Jump
Max Bench
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Max Squat
*Please enter valid Max Squat
Jersey Number
*Please enter valid Jersey Number
Jersey Color
*Please enter valid Jersey Color
Other Sports You Play
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Message for the Coaching Staff
*Please enter valid Message for the Coaching Staff