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Personal Information
Graduation Date
First Name * Middle Name
Last Name * Preferred Name
Address * City *
State * Zip
Home Phone * Cell Phone
Birth Date
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Family Information
Parent 1 Parent 2
Relationship Relationship
Street Street
City City
State State
Zip Zip
Employer Employer
Home phone # Home phone #
Work phone # Work phone #
Cell phone # Cell phone #
Email Email
College College
Parent 3 Parent 4
Relationship Relationship
I live with
The names and ages of my siblings are:
The best ways to reach me are (choose one)
Athletic Information
Offensive Position Defensive Position
Specialty Position Preferred Position
Height Weight
40 Time 100 meter
Jersey Number Other Sports
My academic interests are:
My online video link is:
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 Written
SAT Verbal
General Information
My top priorities in choosing a college are:
1. 2. 3.
The Alabama 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 Alabama.