Questionnaires

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General
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*Please enter valid First Name
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*Please enter valid Last Name
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*Please enter valid Email Address
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*Please enter valid Home Address1
*Please enter valid Home Address2
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*Please enter valid City
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*Please enter valid State
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*Please enter valid Zip
*Please enter valid number
*Please enter valid number
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*Please enter valid number
*Please enter valid Position
*Please enter valid Banner Number
*Please enter valid Are you a US Citizen?
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*Please enter valid Date of Birth
*Please enter valid Student Type
*Please enter valid Entry Term
*Please enter valid Preferred Name
Background
*Please enter valid Mother's Name
*Please enter valid Father's Name
*Please enter valid Have you applied?
*Please enter valid Have you visited Brockport?
*Please enter valid Family members/friends who have attended Brockport
Athletic
*Please enter valid Height
*Please enter valid number
*Please enter valid Athletic honors/awards
*Please enter valid Name of High School Coach
*Please enter valid H.S. Coach's Phone
*Please enter valid H.S Coach's Email
*Please enter valid H.S Jersey #
*Please enter valid Name of Club Team
*Please enter valid Name of Club Team Coach
*Please enter valid Club Coach's Phone
*Please enter valid Club Coach's Email
*Please enter valid Club's (or team's) website
*Please enter valid Club Team Jersey #
*Please enter valid Tournaments Club will participate in next 12 mo.
*Please enter valid Other sports played
Academic
*Please enter valid High School/College
*Please enter valid Class Rank
*Please enter valid GPA
*Please enter valid Academic Honors
*Please enter valid Other College Choices
*Please enter valid Intended Major
*Please enter valid High School
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.
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