Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Email Address *
*Please enter valid Email Address
Home Address1
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City
*Please enter valid City
State
*Please enter valid State
Zip
*Please enter valid Zip
Home Phone Number
*Please enter valid Home Phone Number
Cell Phone Number
*Please enter valid Cell Phone Number
Graduation Year *
*Please enter valid Graduation Year
Date of Birth
*Please enter valid Date of Birth
Mother's Name
*Please enter valid Mother's Name
Mother's Phone Number
*Please enter valid Mother's Phone Number
Mother's Email Address
*Please enter valid Mother's Email Address
Father's Name
*Please enter valid Father's Name
Father's Phone Number
*Please enter valid Father's Phone Number
Father's Email Address
*Please enter valid Father's Email Address
Siblings Names/Ages
*Please enter valid Siblings Names/Ages
Gender

*Please enter valid Gender
Academic

Current Institution
*Please enter valid Current Institution
I Have Registered with the Eligibility Center

*Please enter valid I Have Registered with the Eligibility Center
NCAA Eligibility #
*Please enter valid NCAA Eligibility #
High School/College
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School/College
Have you attended another HS?

*Please enter valid Have you attended another HS?
If Yes, specify
*Please enter valid If Yes, specify
Have you taken classes at another school?



*Please enter valid Have you taken classes at another school?
If Yes, please list
*Please enter valid If Yes, please list
Class Rank
*Please enter valid Class Rank
GPA
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Critical Reading
*Please enter valid SAT Critical Reading
SAT Writing
*Please enter valid SAT Writing
SAT Total
*Please enter valid SAT Total
SAT Date Taken
*Please enter valid SAT Date Taken
ACT
*Please enter valid ACT
ACT Date Taken
*Please enter valid ACT Date Taken
Academic Honors
*Please enter valid Academic Honors
Transcripts
*Please enter valid Transcripts
Intended Major
*Please enter valid Intended Major
Other College Choices
*Please enter valid Other College Choices
Test Score Upload
*Please enter valid Test Score Upload
Athletic

Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Best Times
*Please enter valid Best Times
Event 1: 5k run
*Please enter valid Event 1: 5k run
Event 2: 6k run
*Please enter valid Event 2: 6k run
Event 3: 8k run
*Please enter valid Event 3: 8k run
Event 4: 10k run
*Please enter valid Event 4: 10k run
Event 5: 1600m run
*Please enter valid Event 5: 1600m run
Event 6: 3200m run
*Please enter valid Event 6: 3200m run
Event 7: 800m run
*Please enter valid Event 7: 800m run
Event 8: 400m run
*Please enter valid Event 8: 400m run
Years of Running Experience:
*Please enter valid Years of Running Experience:
Personal Athletic Achievement/Awards
*Please enter valid Personal Athletic Achievement/Awards
Personal Non-Athletic Awards (SGA, NHS, etc.)
*Please enter valid Personal Non-Athletic Awards (SGA, NHS, etc.)
Current Coach's Name:
*Please enter valid Current Coach's Name:
Current Coach's Email:
*Please enter valid Current Coach's Email:
Past and current Injury Information:
*Please enter valid Past and current Injury Information:
Other sports that you participate in:
*Please enter valid Other sports that you participate in: