Front Rush

Fields marked with * are mandatory

General

First Name *

*Please enter valid First Name

Last Name *

*Please enter valid Last Name

If a required field doesn't apply- please enter NA

*Please enter valid If a required field doesn't apply- please enter NA

Preferred Name

*Please enter valid Preferred Name

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

Cell Phone Number *

*Please enter valid number

Confirm Cell Phone Number *

*Please enter valid Confirm Cell Phone Number

HS Graduation Year *

*Please enter valid number

Profile Image

*Please enter valid Profile Image

Date of Birth *

Open the calendar popup.

*Please enter valid Date of Birth

Background

Parent/Guardian 1 Name *

*Please enter valid Parent/Guardian 1 Name

Parent/Guardian 1 Phone Number *

*Please enter valid Parent/Guardian 1 Phone Number

Parent/Guardian 1 Email Address *

*Please enter valid Parent/Guardian 1 Email Address

Parent/Guardian 2 Name

*Please enter valid Parent/Guardian 2 Name

Parent/Guardian 2 Phone Number

*Please enter valid Parent/Guardian 2 Phone Number

Parent/Guardian 2 Email Address

*Please enter valid Parent/Guardian 2 Email Address

Friends/Relatives that attend(ed) UMich-Dearborn

*Please enter valid Friends/Relatives that attend(ed) UMich-Dearborn

Academic

High School *

School Name

Address1

Address2

Address3

City

State

Zip

Country

CEEB Code

the school is not listed above

*Please enter valid High School

Cumulative GPA *

*Please enter valid number

SAT Total

*Please enter valid SAT Total

ACT

*Please enter valid ACT

Other College Considerations *

*Please enter valid Other College Considerations

Transcripts

*Please enter valid Transcripts

Interested Major *

*Please enter valid Interested Major

Are You Applying For Financial Aid?

Yes

*Please enter valid Are You Applying For Financial Aid?

Why are you interested in UMich-Dearborn?

*Please enter valid Why are you interested in UMich-Dearborn?

Athletic

Position(s) - Select all that apply *

Height *

FeetInch

*Please enter valid Height

Weight *

*Please enter valid Weight

Other Sports in HS

*Please enter valid Other Sports in HS

Athletic Honors

*Please enter valid Athletic Honors

Club/Travel Team Name

*Please enter valid Club/Travel Team Name

Club/Travel Team Head Coach Name

*Please enter valid Club/Travel Team Head Coach Name

Club/Travel Team Head Coach Phone Number

*Please enter valid Club/Travel Team Head Coach Phone Number

Club/Travel Team Head Coach Email Address

*Please enter valid Club/Travel Team Head Coach Email Address

Recruiting Website

*Please enter valid Recruiting Website

Video Link

*Please enter valid Video Link

I am intereseted in hearing about sports camps in my area through Ryzer.
When you opt in to Ryzer, we share your email address, zip code, and name with Ryzer so that they can send you information on relevant camps that you might be interested in.
The data in Ryzer is subject to their data privacy policy. Data in Ryzer does not expire and can be removed in Ryzer and by request anytime.

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.

First

Last

Main #

Secondary #

Cell #

Questionnaires