Fields marked with * are mandatory
General

First Name *
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Last Name *
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Preferred Name
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Email Address *
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Home Address 1 *
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Home Address 2
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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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International Phone Number
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Graduation Year *
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Date of Birth *
*Please enter valid Date of Birth
3 assets you are looking for in a University team?
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How did you hear about Regis?
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List anyone you know with Regis ties
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Top 5 Schools looking at
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Favorite Food
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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 1 Occupation
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Parent/Guardian 1 College Attended
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Parent/Guardian 1 Gender
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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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Parent/Guardian 2 Occupation
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Parent/Guardian 2 College Attended
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Parent/Guardian 2 Gender
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Sibling(s) / Name(s) and Age(s)
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List any jobs you’ve had
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Academic

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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Class Rank
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GPA *
*Please enter valid GPA
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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Academic Honors
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Other College Choices
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Transcripts
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Intended Major
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Athletic

Position *





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Height *
FeetInch
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Weight
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Recruiting Website
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Video 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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Club Team *
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Club Team Coach
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Club Team Coach Phone Number
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Club Team Coach Email Address
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NCAA Eligibility Center ID
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List others sports you’ve played
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Standing Reach
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Approach Touch
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Block Touch
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Vertical
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Athletic Honors
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Dominant Hand *

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List any serious injuries and dates
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Most influential person/people in your life?
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