Fields marked with * are mandatory
General

First Name *
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Last Name *
*Please enter valid Last Name
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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Contact Number *
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Cell Phone Number *
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Date of Birth *
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Background

Mother's Name
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Mother's Phone
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Mother's Email
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Mother's Occupation
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Father's Name
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Father's Phone
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Father's Email
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Father's Occupation
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Academic

Graduation Year
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High School
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
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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 Math
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SAT Critical Reading
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SAT Writing
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SAT Total
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ACT
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Do you plan to take either test again?

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Academic Honors
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Intended Major
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Other colleges you are interested in?
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Transcripts
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Have you completed the FAFSA?

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College (if applicable)
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College Name
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College GPA
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College Academic Honors
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College Transcripts
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Athletic

Position



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Height
FeetInch
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Weight
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Have you registered with the NAIA Eligib. Center?

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Recruiting Website
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Youtube Link
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HS Coach's Name
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HS Coach's Phone
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HS Coach's Email
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Stats/Honors/Awards
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