Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Preferred Name
*Please enter valid Preferred Name
Sex *

*Please enter valid Sex
Email Address
*Please enter valid Email Address
Home Address 1
*Please enter valid Home Address 1
Home Address 2
*Please enter valid Home Address 2
City
*Please enter valid City
State
*Please enter valid State
Zip
*Please enter valid Zip
Contact Number
*Please enter valid Contact Number
Cell Phone Number
*Please enter valid Cell Phone Number
Facebook Link
*Please enter valid Facebook Link
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
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
Sibling(s) / Name(s) and Age(s)
*Please enter valid Sibling(s) / Name(s) and Age(s)
Names of any Lycoming connections
*Please enter valid Names of any Lycoming connections
Academic

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
School Phone Number
*Please enter valid School Phone Number
Counselor's Name
*Please enter valid Counselor's Name
Counselor's Phone
*Please enter valid Counselor's Phone
Counselor's Email
*Please enter valid Counselor's Email
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
Other College Choices
*Please enter valid Other College Choices
Transcripts
*Please enter valid Transcripts
Intended Major
*Please enter valid Intended Major
Has Applied

*Please enter valid Has Applied
Other Activities, Clubs, Etc.
*Please enter valid Other Activities, Clubs, Etc.
Community Service & Church Activities
*Please enter valid Community Service & Church Activities
Athletic

Stroke(s)












*Please enter valid Stroke(s)
Recruiting Website
*Please enter valid Recruiting Website
YouTube Link
*Please enter valid YouTube Link
Tournaments Attending
*Please enter valid Tournaments Attending
Height
FeetInch
*Please enter valid Height
Weight (optional)
*Please enter valid Weight (optional)
Club Team Name
*Please enter valid Club Team Name
Club Team Coach
*Please enter valid Club Team Coach
Club Coach Phone
*Please enter valid Club Coach Phone
Club Coach Email
*Please enter valid Club Coach Email
High School Coach Name
*Please enter valid High School Coach Name
High School Coach Phone Number
*Please enter valid High School Coach Phone Number
High School Coach Email
*Please enter valid High School Coach Email
Event #1
*Please enter valid Event #1
Event #1 Best Time
*Please enter valid Event #1 Best Time
Event #2
*Please enter valid Event #2
Event #2 Best Time
*Please enter valid Event #2 Best Time
Event #3
*Please enter valid Event #3
Event #3 Best Time
*Please enter valid Event #3 Best Time
Athletic Honors in Career
*Please enter valid Athletic Honors in Career
HS District/Region Number
*Please enter valid HS District/Region Number
HS Classification Size (AA/AAA etc.)
*Please enter valid HS Classification Size (AA/AAA etc.)