Front Rush

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General

First Name *

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Last Name *

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Preferred 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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Contact Number

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Cell Phone Number *

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Graduation Year *

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Profile Image

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Date of Birth *

Open the calendar popup.

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Are you planning on entering UW-Platteville as a: *

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When do you plan to start at UW-Platteville? *

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What are you thinking of majoring in? *

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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 2 Name

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Parent/Guardian 2 Phone Number

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Parent/Guardian 2 Email Address

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Sibling(s) / Name(s) and Age(s)

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Academic

High School *

School Name

Address1

Address2

Address3

City

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Zip

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CEEB Code

the school is not listed above

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School Phone Number

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Class Rank

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GPA *

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ACT / SAT or put 0 if not taken *

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Academic Honors

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Other College Choices

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Transcripts

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Major *

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What other schools are you strongly considering? *

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Athletic

Position *

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Dominant Foot *

Right

Left

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Height

FeetInch

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Weight

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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

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Club Team Name *

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Club Coach Name *

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Club Coach Cell

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Club Coach Email

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Tournaments Attending

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YouTube Link

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Recruiting Website

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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.

First

Last

Main #

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Questionnaires