Personal |
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| Name |
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| Date of Birth |
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| Age in Years |
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| Address (Street) |
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| City |
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| State |
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| Zipcode |
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| Graduation Year |
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| Telephone Number |
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| E-Mail |
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Academic |
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| High School |
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| School Address |
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| School City |
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| State |
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| Zipcode |
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| Guidance Counselor |
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| School Phone |
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| Rank in Class |
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| Number in Class |
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| Grade Point Average |
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| Please check the courses you will have taken upon graduation |
| English |
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| Algebra II |
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| Trigonometry |
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| History |
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| Biology |
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| Chemistry |
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| Physics |
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Foreign Language (2 years) |
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| Have you taken your College Board Exam? Yes No |
| If yes, when? |
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| Scores: Critical Reading |
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| Math |
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| Writing |
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| If not, when will you take them? |
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| Curriculum desired to study: |
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Athletic |
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| Position |
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| Goals Per Game |
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| Saves Per Game |
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| High School Coach |
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| Coach's Address |
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| Coach's Home Telephone |
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| Other sports you compete in |
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| Individual athletic honors won |
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| Are video tapes of games available? |
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| Name the outstanding players you will compete against this year: |
| Name |
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| School |
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| Position |
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| Year |
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| Name |
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| School |
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| Position |
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| Year |
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| Name |
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| School |
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| Position |
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| Year |
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| Name |
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| School |
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| Position |
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| Year |
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| Comments: |
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