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PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
NICKNAME  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME PHONE  
CELL PHONE  
EMAIL  
DATE OF BIRTH  
FACEBOOK ACCOUNT NAME  
TWITTER ACCOUNT NAME  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S ALMA MATER  
MOTHER'S OCCUPATION  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S ALMA MATER  
FATHER'S OCCUPATION  
PARENTS ARE  
YOU LIVE WITH  
BROTHERS AND SISTERS AND AGES  
WHO WILL HELP YOU MAKE A COLLEGE DECISION?  
NAMES OF STUDENT FRIENDS AT UND  
UND ALUMNI YOU KNOW  

ACADEMIC INFORMATION

HS/JC NAME  

GRADUATION YEAR  
LEVEL  
HS/JC ADDRESS  
 
HS/JC CITY  
HS/JC STATE  
HS/JC ZIP  
HS/JC PHONE  
HS/JC FAX  
CLASS RANK  
GRADE POINT AVERAGE  
PSAT  
ACT  
SAT TOTAL  
PLANNED COURSE OF STUDY  
GUIDANCE COUNSELOR'S FIRST NAME  
GUIDANCE COUNSELOR'S LAST NAME  
GUIDANCE COUNSELOR'S WORK PHONE  

ATHLETIC INFORMATION

HS/JC COACH'S FIRST NAME  
HS/JC COACH'S LAST NAME  
HS/JC COACH'S EMAIL  
HS/JC COACH'S CELL PHONE  
HS/JC COACH'S HOME PHONE  
HS/JC COACH'S ALMA MATER  
POSITION(S)  
POSITION PREFERENCE  
HEIGHT  
WEIGHT  
40 YARD  
100M TIME  
JERSEY NO.  
OTHER VARSITY SPORTS PLAYED  
PLEASE CERTIFY THAT YOU ARE A HIGH SCHOOL JUNIOR OR SENIOR, OR ARE A CURRENT COLLEGE STUDENT   Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.

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