Fields marked with * are mandatory
General

Legal First Name *
*Please enter valid Legal First Name
Preferred Name *
*Please enter valid Preferred Name
Middle Name
*Please enter valid Middle Name
Legal Last Name *
*Please enter valid Legal 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
Country
*Please enter valid Country
Contact Number
*Please enter valid Contact Number
Cell Phone Number
*Please enter valid Cell Phone 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 Names/Ages
*Please enter valid Siblings Names/Ages
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 #
Graduation Year *
*Please enter valid Graduation Year
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
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
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
ACT
*Please enter valid ACT
Academic Honors
*Please enter valid Academic Honors
Transcripts
*Please enter valid Transcripts
SAT/ACT Scores
*Please enter valid SAT/ACT Scores
Other College Choices
*Please enter valid Other College Choices
Student Type

*Please enter valid Student Type
Academic Interest 1
*Please enter valid Academic Interest 1
Academic Interest 2
*Please enter valid Academic Interest 2
Admission Level

*Please enter valid Admission Level
Athletic

Position(s)





*Please enter valid Position(s)
Recruiting Website
*Please enter valid Recruiting Website
Youtube Link
*Please enter valid Youtube Link
High School Coach Name
*Please enter valid High School Coach Name
High School Coach Email
*Please enter valid High School Coach Email
High School Coach Phone Number
*Please enter valid High School Coach Phone Number
Club Team
*Please enter valid Club Team
Club Coach Name
*Please enter valid Club Coach Name
Club Coach Email
*Please enter valid Club Coach Email
Club Schedule
*Please enter valid Club Schedule
Club Coach Number
*Please enter valid Club Coach Number
Club Jersey Number
*Please enter valid Club Jersey Number
High School Jersey Number
*Please enter valid High School Jersey Number
Summer events attending













*Please enter valid Summer events attending
If Other- what summer event(s)
*Please enter valid If Other- what summer event(s)
Fall events attending





*Please enter valid Fall events attending
If other- what fall event(s)
*Please enter valid If other- what fall event(s)
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Other Sports
*Please enter valid Other Sports
Other Sports position
*Please enter valid Other Sports position
Submitted Video

*Please enter valid Submitted Video