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Personal Information
Graduation Year *
First Name * Middle Name
Last Name * Preferred Name
Address * City *
State * Zip *
Twitter Email
Home Phone Cell Phone
Birth Date Initial Eligibility Center *
Family Information
Father's Name Father's Occupation
Father's Cell phone #
Father's Email Father's College
Mother's Name Mother's Occupation
Mother's Cell phone #
Mother's Email Mother's College
I live with
The names and ages of my siblings are:
The best way to reach me is (choose one)
Athletic Information
off pos1 off pos2
def pos1 spec pos
Height ft in Weight
Jersey Number Other Sports
My academic interests are:
Scholastic Information
School State *
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School Type
School Name School Address
School City School ZIP
School Phone School Fax #
Counselor's First name Counselor's Last name
Coach's First Name Coach's Last Name
Coach's Work Phone Coach's Home Phone
Coach's Cell Phone
SAT Math
SAT Verbal
General Information
My top priorities in choosing a college are:
1. 2. 3.
The students and alums I know are:
My favorites hobbies are:
The person that will help me choose a college is: Cell phone:
The 5 schools I plan to visit are:
1. 2. 3. 4. 5.
Transcript Release
I authorize the release of my transcript and test scores to INDIANA.