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| Graduation Date |
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| First Name * | | Middle Name | |
| Last Name * | | Preferred Name | |
| Address * | | City * | |
| State * | | Zip | |
| Social Security No | | Email | |
| Home Phone * | | Cell Phone | |
| Birth Date |
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| Instant Messenger |
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| Father's Name | | Father's Occupation | |
| Father's Employer | | Father's Home phone # | |
| Father's Work phone # | | Father's Cell phone # | |
| Father's Email | | Father's College | |
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| Mother's Name | | Mother's Occupation | |
| Mother's Employer | | Mother's Home phone # | |
| Mother's Work phone # | | Mother's Cell phone # | |
| Mother's Email | | Mother's College | |
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| I live with | |
| The names and ages of my siblings are: | |
| The best ways to reach me are (choose one) | |
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| Offensive Position | | Defensive Position | |
| Specialty Position | | Preferred Position | |
| Height | ft
in | Weight | |
| 40 Time | | 100 meter | |
| Jersey Number | | Other Sports | |
| My academic interests are: | |
| My online video link is: | |
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| School State * | |
| Choose your School | |
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| GPA | | ACT | |
| SAT Math | | SAT Written | |
| SAT Verbal | |
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| My top priorities in choosing a college are: |
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| 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: |
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| I authorize the release of my transcript and test scores to Alabama. |
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