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Email Address
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State
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Zip
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CellPhone Number
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Graduation Year
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Position
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goalkeeper
central defender
outside defender
central midfielder
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forward
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Height
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Inch
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Father's Name
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Mother's Name
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Profile Image
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Date of Birth
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Have you applied?
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no
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Have you visited Pitt-Bradford?
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no
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Date visited / Would like to visit?
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Athletic
Name of high school coach
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H.S. coach's email
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Name of club team
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Name of club team coach
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Club coach's email
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Tournaments Club will participate in next 12 mo.
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Other Sports Played
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Academic
High School/College
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GPA
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Other College Choices
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Intended Major
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Accounting Major
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English Major
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Environmental Studies Education K-12
Environmental Studies Major
Health and Physical Education Major
History/Political Science Major
Hospitality Management Major
Human Relations Major
Information Systems AS
Interdisciplinary Arts Major
Liberal Studies AA
Mathematics Education Major
Nursing Major - AS
Nursing Major - BSN
Petroleum Technology AS
Physical Sciences Major
Psychology Major
Public Relations Major
Radiological Science Major
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Social Studies Education Major
Sociology Major
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Sports Medicine Major
Writing Major
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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.
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Mother
Father
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Phone #'s must be 10 digits. (i.e. 1234567890)
Phone #'s must be 10 digits. (i.e. 1234567890)
Phone #'s must be 10 digits. (i.e. 1234567890)
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