Personal

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Email

Age

Date of Birth

Mother's Name

Mother's Occupation

Mother's College

Father's Name

Father's Occupation

Father's College

Number in family (including yourself)

Number in family in college

Will you apply for financial aid?

Academics

Current School

Year of Graduation

Guidance Counselor

School Phone

Desired Field(s) of Study

Class Rank (if available)

GPA

SAT (optional)

V, M, W

SAT II (optional)

1, 2, 3

Position(s)

Height

Weight

Other sport(s) played

Will you pursue other sports in college?

If so, what?

Coach's Name

Coach's Phone

AAU Coach

AAU Coach's Phone

AAU Team

Do you have a video/DVD available?

Please list any individual and/or Team Honors and Achievements

Please list, in no particular order, any Colleges and Universities that you’re considering

Please list any current students or Bates alumni that you know

Email

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