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
Contact Number
*Please enter valid Contact 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
Background

Parent / Guardian #1 Name
*Please enter valid Parent / Guardian #1 Name
Parent / Guardian #1 Phone Number
*Please enter valid Parent / Guardian #1 Phone Number
Parent / Guardian #1 Email Address
*Please enter valid Parent / Guardian #1 Email Address
Parent / Guardian #2 Name
*Please enter valid Parent / Guardian #2 Name
Parent / Guardian #2 Phone Number
*Please enter valid Parent / Guardian #2 Phone Number
Parent / Guardian #2 Email Address
*Please enter valid Parent / Guardian #2 Email Address
Siblings
*Please enter valid Siblings
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 ever take classes at another school?



*Please enter valid Have you ever take 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
SAT (File Upload)
*Please enter valid SAT (File Upload)
ACT
*Please enter valid ACT
ACT Date Taken
*Please enter valid ACT Date Taken
ACT (File Upload)
*Please enter valid ACT (File Upload)
Academic Honors
*Please enter valid Academic Honors
Transcripts
*Please enter valid Transcripts
Athletic

Position






*Please enter valid Position
Recruiting Website
*Please enter valid Recruiting Website
HS Coach's Name
*Please enter valid HS Coach's Name
HS Coach's Phone Number
*Please enter valid HS Coach's Phone Number
HS Coach's Email Address
*Please enter valid HS Coach's Email Address
AAU Team
*Please enter valid AAU Team
AAU Coach's Name
*Please enter valid AAU Coach's Name
AAU Coach's Address
*Please enter valid AAU Coach's Address
AAU Coach's City
*Please enter valid AAU Coach's City
AAU Coach's State
*Please enter valid AAU Coach's State
AAU Coach's Zip
*Please enter valid AAU Coach's Zip
AAU Coach's Cell Phone Number
*Please enter valid AAU Coach's Cell Phone Number
AAU Coach's Email
*Please enter valid AAU Coach's Email