Front Rush

Fields marked with * are mandatory

General

Legal First Name *

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Last Name *

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Middle Name

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Home Address 1

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Home Address 2

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City

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State

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Zip

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Country

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Home Phone Number

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Cell Phone Number

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International Phone Number

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Email Address *

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Date of Birth

Open the calendar popup.

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Twitter Username

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Instagram Username

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Snapchat Username

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Profile Image

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Entry Term

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Student Type

Freshman

Transfer

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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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Other Parent/Guardian Name

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Other Parent/Guardian Relationship

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Other Parent/Guardian Phone Number

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Other Parent/Guardian Email Address

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Academic

High School *

School Name

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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High School GPA

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High School Graduation Year *

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SAT Math

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SAT EBRW (Evidenced Based Reading-Writing)

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ACT Composite Score

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Do you Intend to Take the SAT or ACT again?

Yes

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If so - when?

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College Name(s) (If Applicable)

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College Address

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College City

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College State

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College Zip

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College Country

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College Phone

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College GPA

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College Graduation Year

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College Major

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Athletic

Height

FeetInch

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Weight

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Position (Check All That Apply)

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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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AAU Team Name

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AAU Coach Name

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AAU Coach Phone Number

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AAU Coach Email

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College Coach Name

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College Coach Phone Number

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College Coach Email

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Other Colleges Interested In

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Registered for NCAA Eligibility Center

Yes

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NCAA Eligibility Center Number

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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 #

Secondary #

Cell #

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