Front Rush

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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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Graduation Year

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Profile Image

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Date of Birth *

Open the calendar popup.

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Cumulative GPA *

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NAIA Clearing House ID

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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 2 Name

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Parent/Guardian 2 Phone Number

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Parent/Guardian 2 Email Address

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Sibling(s) / Name(s) and Age(s)

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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

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SAT EBRW (Evidenced Based Reading-Writing)

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SAT Math

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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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Indiana Tech Designation

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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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Other Sports Participated in

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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 #

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Questionnaires