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
Mother's Occupation
*Please enter valid Mother's Occupation
Mother's Alma Mater
*Please enter valid Mother's Alma Mater
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
Father's Occupation
*Please enter valid Father's Occupation
Siblings Names/Ages
*Please enter valid Siblings Names/Ages
Father's Alma Mater
*Please enter valid Father's Alma Mater
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
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

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

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Athletic

Position(s)





*Please enter valid Position(s)
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Dominate Hand

*Please enter valid Dominate Hand
Current Team
*Please enter valid Current Team
Current League
*Please enter valid Current League
Head Coach
*Please enter valid Head Coach
Head Coach Phone
*Please enter valid Head Coach Phone
Head Coach Email
*Please enter valid Head Coach Email
Previous Team
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Previous Head Coach
*Please enter valid Previous Head Coach
Previous Head Coach Phone
*Please enter valid Previous Head Coach Phone
Current Statistics
*Please enter valid Current Statistics
Games Played
*Please enter valid Games Played
Goals (GAA)
*Please enter valid Goals (GAA)
Assists (Save %)
*Please enter valid Assists (Save %)
Points (Record)
*Please enter valid Points (Record)
PIMs
*Please enter valid PIMs
Other Sports Played
*Please enter valid Other Sports Played
Honors/Awards received in all sports
*Please enter valid Honors/Awards received in all sports
What are the strongest aspects of your game?
*Please enter valid What are the strongest aspects of your game?
What are your academic and athletic goals?
*Please enter valid What are your academic and athletic goals?
Who has contributed most to your success as a SA
*Please enter valid Who has contributed most to your success as a SA
Comment on your desire to attend AIC.
*Please enter valid Comment on your desire to attend AIC.
Name(s) of AIC students or alumni you know.
*Please enter valid Name(s) of AIC students or alumni you know.
List of other schools you are considering.
*Please enter valid List of other schools you are considering.