Front Rush

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General

First Name *

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Last Name *

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Preferred Name

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Middle Name

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Gender *

Male

Female

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Email Address *

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Home Address1 *

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Home Address2

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City *

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State *

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Zip *

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Country

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Contact Number

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Cell Phone Number

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International Phone Number

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Date of Birth *

Open the calendar popup.

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Profile Image

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Background

Parent/Guardian 1 First Name

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Parent/Guardian 1 Last Name

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Parent/Guardian 1 Phone Number

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Parent/Guardian 1 Email Address

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Parent/Guardian 2 First Name

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Parent/Guardian 2 Last Name

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Parent/Guardian 2 Phone Number

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Parent/Guardian 2 Email Address

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Sibling(s) Name(s) / Age(s)

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Academic

High School Graduation Year *

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High School/College

School Name

Address1

Address2

Address3

City

State

Zip

Country

CEEB Code

the school is not listed above

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Student Type

Freshman

Transfer

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Entry Term

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Primary Major

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Secondary Major

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List Here If Major Not Listed

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School Phone Number

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Counselor's Name

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Counselor's Phone

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Counselor's Email

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Class Rank

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GPA

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SAT Total

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ACT

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Transcripts

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Other College Choices

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Has Applied

Yes

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Athletic

Best Performances

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Event 1

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Event 1 Best Performance

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Event 2

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Event 2 Best Performance

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Event 3

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Event 3 Best Performance

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Personal Contacts

Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.

First

Last

Main #

Secondary #

Cell #

Questionnaires