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* First Name:
* Last Name:
* Address:
* City:
* State / * ZIP:  
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High School:
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Intended Major:
Extracurricular Activities/Hobbies


Athletic Honors and Awards/Club Experience


  Questionnaire
Please rate the following factors according to importance (1 being not important, 5 being very important).

Academic Quality 1    2    3    4    5   
School Location 1 2 3 4 5
Financial Aid 1 2 3 4 5
Facilities 1 2 3 4 5
Athletic Program Reputation    1 2 3 4 5
Coaching Staff 1 2 3 4 5
Getting along with the team 1 2 3 4 5

  Sports of Interest

I am primarily interested in the following sport(s):

Basketball
Cross Country
Soccer
Softball
Volleyball
Other: