Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Home Address1
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City
*Please enter valid City
State
*Please enter valid State
Zip
*Please enter valid Zip
Email Address
*Please enter valid Email Address
Contact Number
*Please enter valid Contact Number
CellPhone Number
*Please enter valid CellPhone Number
Date of Birth
*Please enter valid Date of Birth
Gender

*Please enter valid Gender
Mother's Name
*Please enter valid Mother's Name
Mother's Phone
*Please enter valid Mother's Phone
Mother's Email
*Please enter valid Mother's Email
Father's Name
*Please enter valid Father's Name
Father's Phone
*Please enter valid Father's Phone
Father's Email
*Please enter valid Father's Email
Siblings
*Please enter valid Siblings
Student ID #
*Please enter valid Student ID #
NLI Signed..

*Please enter valid NLI Signed..
NLI Signed.

*Please enter valid NLI Signed.
Academic

Current Institution
*Please enter valid Current Institution
I Have Registered with the Eligibility Center

*Please enter valid I Have Registered with the Eligibility Center
NCAA Eligibility #
*Please enter valid NCAA Eligibility #
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
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
SAT II (i)
*Please enter valid SAT II (i)
SAT II (ii)
*Please enter valid SAT II (ii)
Academic Honors
*Please enter valid Academic Honors
Transcripts
*Please enter valid Transcripts
Intended Major
*Please enter valid Intended Major
Other College Choices
*Please enter valid Other College Choices
SAT Scheduled to Take Date
*Please enter valid SAT Scheduled to Take Date
ACT Scheduled to Take Date
*Please enter valid ACT Scheduled to Take Date
Test Score Upload
*Please enter valid Test Score Upload
Athletic

Position

*Please enter valid Position
Recruiting Website
*Please enter valid Recruiting Website
Youtube Link
*Please enter valid Youtube Link
Upcoming Meet: Location & Date
*Please enter valid Upcoming Meet: Location & Date
Upcoming Meet 2: Location & Date
*Please enter valid Upcoming Meet 2: Location & Date
Upcoming Meet 3: Location & Date
*Please enter valid Upcoming Meet 3: Location & Date
Personal Best
*Please enter valid Personal Best
5k Time
*Please enter valid 5k Time
HS Coach Name
*Please enter valid HS Coach Name
HS Coach Phone Number
*Please enter valid HS Coach Phone Number
HS Coach Email Address
*Please enter valid HS Coach Email Address