Front Rush

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General

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Last Name *

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Sex *

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Preferred Name

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Middle Name

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Email Address *

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Home Address1 *

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Home Address2

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City *

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State *

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Zip *

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Country

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Cell Phone Number *

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Other Contact Number

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Date of Birth

Open the calendar popup.

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High School Graduation Year *

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Student Type *

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Entry Term *

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Profile Image

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Background

Parent/Guardian 1 Name *

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Parent/Guardian 1 Phone Number *

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Parent/Guardian 1 Email Address *

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Parent/Guardian 1 College(s) Attended

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Parent/Guardian 1 Occupation(s)

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Parent/Guardian 2 Name

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Parent/Guardian 2 Phone Number

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Parent/Guardian 2 Email Address

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Parent/Guardian 2 College(s) Attended

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Parent/Guardian 2 Occupation(s)

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Live with

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Sibling(s): Name(s) and Age(s)

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Sibling(s): College(s) Attended

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Friends/Relatives who attended Wilkes University

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Academic

High School

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Address1

Address2

Address3

City

State

Zip

Country

CEEB Code

the school is not listed above

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High School Phone Number

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Major

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Major 2

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Certification and Pre-Professional Programs

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Unlisted Major

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Class Rank

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GPA

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SAT Math

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SAT EBRW (Evidenced Based Reading-Writing)

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SAT Total (new version)

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SAT Math (old version)

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SAT Critical Reading (old version)

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ACT English

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ACT Math

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ACT Reading

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ACT Science

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ACT Total

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Add'l Testing Scores (SAT II, etc.)

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Academic Honors

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Unofficial Transcript (PDF Only)

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Unofficial Test Scores (PDF Only)

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Athletic

Height

FeetInch

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Weight

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Club/HS practices per week

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Club/HS yards per practice

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Dryland Training Experience

Yes

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Weight Training Experience

Yes

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Club Team Name

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Club Team Coach Name

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Club Team Coach Phone Number

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Club Team Coach Email Address

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High School Coach Name

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High School Coach Phone Number

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High School Coach Email Address

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Best Times (SCY unless indicated)

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50 Free

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100 Free

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200 Free

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500 Free

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1000 Free

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1650 Free

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50 Back

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100 Back

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200 Back

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50 Breast

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100 Breast

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200 Breast

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50 Fly

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100 Fly

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200 Fly

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100 IM

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200 IM

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400 IM

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Personal Contacts

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