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Personal Information
Prospect Code:
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Email: *
Facebook Email:
Address: *
City: *
State:
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
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NY
NC
ND
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OR
PA
RI
SC
SD
TN
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VT
VA
WA
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AB
AE
BC
DC
MB
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NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Zip:
Country:
Phone: *
Mobile/Alt. Phone:
Place of Birth:
Date of Birth: *
Hobbies:
Athletic Information
Height: *
ft.
in.
Weight: *
Private Coach:
Coach Phone:
Academic Information
SAT:
SAT Math:
SAT Verbal:
ACT:
GPA: *
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
Class Rank:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Registered with Clearinghouse: *
Yes
No
Intended Major:
1st College Preference:
2nd College Preference:
3rd College Preference:
School Information
School Name: *
Clear
Address1: *
Address2:
City: *
State:
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Zip:
Country:
Phone:
Fax:
Mascot:
Colors:
Website:
Principal's First Name:
Principal's Last Name:
Principal's Email:
Principal's Phone:
Principal's Fax:
Registrar's First Name:
Registrar's Last Name:
Registrar's Email:
Registrar's Phone:
Registrar's Fax:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Email:
Guidance Counselor's Phone:
Guidance Counselor's Fax: