Front Rush

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General

First Name *

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Last Name *

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Email Address *

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Home Phone Number

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Cell Phone Number *

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High School Graduation Year *

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Date of Birth

Open the calendar popup.

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Profile Image

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Background

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 Code *

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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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Do you know anyone who attends/attended Whitworth?

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Academic

Why Are You Interested In Whitworth University? *

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Intended Major(s) *

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High School *

School Name

Address1

Address2

Address3

City

State

Zip

Country

CEEB Code

the school is not listed above

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High School Cumulative 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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Transcripts

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Athletic

Why Are You Interested In Whitworth Soccer? *

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What other colleges are recruiting you?

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Primary Position (Choose 1 Option) *

Goal Keeper

Defender (Central)

Defender (Wingback)

Midfielder (Holding)

Midfielder (Attacking)

Midfielder (Winger)

Forward (Target)

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Secondary Position(s)

Forward (Target)

Midfielder (Winger)

Midfielder (Attacking)

Midfielder (Holding)

Defender (Wingback)

Defender (Central)

Goal Keeper

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Height

FeetInch

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Weight

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Dominant Foot

Right

Left

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Video Highlights/Link

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Club Team Name

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Club Coach Name

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Club Coach Phone Number

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Club Coach Email

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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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Athletic Honors/Accolades

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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 #

Secondary #

Cell #

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