Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Graduation Year *
*Please enter valid Graduation Year
Date of Birth
*Please enter valid Date of Birth
Contact

Email Address *
*Please enter valid Email Address
Home Address
*Please enter valid Home Address
City
*Please enter valid City
State
*Please enter valid State
Zip
*Please enter valid Zip
Cell Phone Number
*Please enter valid Cell Phone Number
Home Phone Number
*Please enter valid Home Phone Number
Parents' Names
*Please enter valid Parents' Names
Athletic

Events (Check All That Apply) *









*Please enter valid Events (Check All That Apply)
Best Track and Field Performance(s)
*Please enter valid Best Track and Field Performance(s)
Best Cross Country Performance(s)
*Please enter valid Best Cross Country Performance(s)
Athletic Honors
*Please enter valid Athletic Honors
Recruiting Website
*Please enter valid Recruiting Website
HS Coach's Name
*Please enter valid HS Coach's Name
HS Coach's Email
*Please enter valid HS Coach's Email
Goals for your College Career
*Please enter valid Goals for your College Career
Academic

Why are you interested in Eastern University? *
*Please enter valid Why are you interested in Eastern University?
Intended Major *
*Please enter valid Intended Major
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 Cumulative GPA
Class Rank
*Please enter valid Class Rank
SAT Math
*Please enter valid SAT Math
SAT Critical Reading
*Please enter valid SAT Critical Reading
ACT Composite
*Please enter valid ACT Composite