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
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Cell Phone Number
*Please enter valid Cell Phone Number
Graduation Year *
*Please enter valid Graduation Year
Twitter Username
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Facebook Link
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Instagram
*Please enter valid Instagram
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
Academic

Current Institution
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I Have Registered with the Eligibility Center

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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
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SAT Total
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SAT Date Taken
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ACT Total
*Please enter valid ACT Total
ACT Date Taken
*Please enter valid ACT Date Taken
Academic Honors
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Transcripts
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Intended Major
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Other College Choices
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Athletic

Position(s)






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Height
FeetInch
*Please enter valid Height
Weight
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Dominant Hand

*Please enter valid Dominant Hand
AAU Team Name
*Please enter valid AAU Team Name
AAU Coach Name
*Please enter valid AAU Coach Name
AAU Coach Phone
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AAU Coach Cell
*Please enter valid AAU Coach Cell
AAU Coach Email
*Please enter valid AAU Coach Email
AAU State
*Please enter valid AAU State
AAU Website
*Please enter valid AAU Website
AAU Jersey
*Please enter valid AAU Jersey
High School Coach's Name
*Please enter valid High School Coach's Name
High School Coach's Email
*Please enter valid High School Coach's Email
High School Coach's Phone Number
*Please enter valid High School Coach's Phone Number
High School Coach's Address
*Please enter valid High School Coach's Address
High School Coach's City
*Please enter valid High School Coach's City
High School Coach's State
*Please enter valid High School Coach's State
High School Coach's Zip
*Please enter valid High School Coach's Zip
Guidance Counselor Name
*Please enter valid Guidance Counselor Name