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Personal Information
First Name:
Last Name:
Street Address:
City:
State:
zip:
Email:
Home Phone:
Height:
Weight:
Date of Birth:
Married: Yes No
Father's Name:
Occupation:
Mother's Name:
Occupation:
Scholastic Information
High School:
School Phone:
Graduation Year:
GPA:
Class Rank:
ACT:
SAT:
College Course of Interest:
Previous College Info
College Name:
GPA:
Hours Passed:
How many years of eligibiliy do you have left?:
Athletic Information
Name of High School Coach:
Coach's Phone Number:
Height:
Weight:
40yd time:
Jersey Number:
Positions Played:  
Offense:
Defense:
Special:
Significant Injuries:
Athletic and/or Academic Honors/Awards:
Are game/match tapes available? Yes No
Are you registered on PlayNAIA? Yes No
PlayNAIA NAIA ID Number:
Other schools you are considering: