Front Rush

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General

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Last Name *

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Preferred First Name

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Home Address1 *

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Email Address *

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City *

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State *

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Zip *

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Home Country

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Contact Number

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Cell Phone Number *

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Twitter Username

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Date of Birth *

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Profile Image

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Are you interested in visiting Campus?

Yes

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What is your preferred visit date?

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3 most important factors when choosing a school?

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Background

Parent/Guardian 1 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 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 Information

School Name

Address1

Address2

Address3

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CEEB Code

the school is not listed above

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School Phone Number

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Student Type

Freshman

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4 Year or Junior College Attending / Attended

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Class Rank

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GPA *

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SAT Math

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SAT Writing

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SAT Total

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ACT

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Academic Honors

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Transcripts

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Academic Interest

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Athletic

Position(s)

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Height

FeetInch

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Weight

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Recruiting Website

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YouTube Link

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High School Coach Name

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High School Coach Phone Number

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High School Coach Email

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AAU Team

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AAU Coach Email

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What are your goals?

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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.

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Last

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Questionnaires