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
Graduation Year *
*Please enter valid Graduation Year
Home Address1
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Home Address2
*Please enter valid Home Address2
City
*Please enter valid City
State
*Please enter valid State
Zip
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Gender

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Home Phone Number
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Cell Phone Number
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Best time for Contact
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Twitter Username
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Facebook Link
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Date of Birth
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Place of Birth
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Country
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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
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Siblings Names/Ages
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Other Interests
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NLI Signed.

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Student Type



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Academic

Current Institution
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I Have Registered with the Eligibility Center

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NCAA Eligibility #
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NCAA Eligibility Center Status



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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?

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If Yes, Specify
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Have you ever taken classes at another school?

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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
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SAT Critical Reading
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SAT Total
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SAT Date Taken
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SAT (File Upload)
*Please enter valid SAT (File Upload)
ACT
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ACT Date Taken
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ACT (File Upload)
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Academic Honors
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Transcripts
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Intended Major
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Other College Choices
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Academic Awards
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School Involvement
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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 ever take classes at another school?

*Please enter valid Have you ever take classes at another school?
JUCO ONLY
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JUCO Institution
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JUCO Graduation Year
*Please enter valid JUCO Graduation Year
Athletic

Position(s)












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Recruiting Website
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Youtube Link
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Club Team 1
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Club Team 1 Coach's Name
*Please enter valid Club Team 1 Coach's Name
Club Team 1 Coach's Email
*Please enter valid Club Team 1 Coach's Email
Club Team Coach's Phone
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Club Team 2
*Please enter valid Club Team 2
Club Team 2 Coach's Name
*Please enter valid Club Team 2 Coach's Name
Club Team 2 Coach's Email
*Please enter valid Club Team 2 Coach's Email
Club Team 2 Coach's Phone
*Please enter valid Club Team 2 Coach's Phone
Athletic Awards
*Please enter valid Athletic Awards
Other Varsity Sports Played
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Years of lacrosse experience
*Please enter valid Years of lacrosse experience
Primary Hand

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Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight