| Personal Information |
| Name: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Home Phone: |
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| Cell Phone: |
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| E-mail |
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| Birth Date: |
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| Name of parent of guardian: |
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| Parent/Guardian Occupation |
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| Which majors are you interested in? |
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| Academic Information |
| High School: |
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| Grad. Date: |
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| City: |
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| State: |
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| Zip: |
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| School Phone: |
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| How many years in the following will you have when you graduate? |
| English: |
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| Math: |
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| History: |
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| Science: |
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| Foreign Language: |
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| Rank in class: |
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| # of Students in class: |
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| GPA: |
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| Have you taken your SAT's? |
If so, when? |
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Scores: Verbal Math: |
| Have you taken your PSAT's? |
If so, when? |
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Scores: Verbal Math: |
| Have you taken your ACT's? |
If so, when? |
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Scores: Math English Science Reading Composite |
| Junior College Transfer Information |
| Name of School: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Phone: |
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| Major: |
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| Years Attended: |
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| Hours Completed: |
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| Athletic Information |
| Sport: |
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| Height: |
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| Weight: |
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| Left / Right Handed: |
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| Primary Position: |
Sport: |
| Secondary Position: |
Sport: |
| Primary Event / Times: |
Sport: |
| Secondary Event / Times: |
Sport: |
| Handicap: |
(Golf) |
| Offense / Defense: |
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| Standing Vertical Jump: |
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| Vertical Jump: |
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| Type of Offensive Plays you can run: |
(Volleyball) |
| High School Coach: |
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| Office Phone: |
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| Home Phone: |
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| Individual Athletic Honors: |
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| Team Honors: |
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| Summer Team: |
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| Years Played: |
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| Summer Coach: |
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| Phone: |
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Please list any other important information about you and/or your achievements: |
| Junior College Coach: |
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| Phone: |
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Finally, prospective student-athletes, both domestic and International, can register with the NCAA Initial Eligibility Clearinghouse by going to this website: www.ncaaclearinghouse.net. Just click on prospective student-athletes. Also, the list of 48-H courses and the Guide to the College Bound Student-Athlete are at this site. |