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| Personal Information |
| *First Name: |
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| *Last Name: |
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| Date of Birth: |
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| *E-mail Address: |
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| Height: |
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| Weight: |
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| Home Phone: |
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| Address: |
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| *City: |
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| *State: |
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| *ZIP: |
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| *Parents Name: |
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| *Parent's Address: |
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| Occupation: |
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| Business Phone: |
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| Parent's Name 2: |
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| Parent's Address 2: |
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| Occupation: |
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| Business Phone: |
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| Education Information |
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| High School/Junior College: |
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| Date Graduating: |
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| High School Address: |
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High School Coach:
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Other Colleges Attended:
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| Approx. GPA: |
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| SAT: Verbal: |
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| SAT: Math: |
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| SAT: Writing: |
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| Class Rank: |
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| Class Size: |
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| Major Contemplated: |
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| Other schools you are considering : |
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| Athletic Participation (Please indicate personal best track/field performances) |
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| Event and Distance/Time: |
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| Event and Distance/Time: |
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| Event and Distance/Time: |
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| Event and Distance/Time: |
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| Event and Distance/Time: |
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| List other sports in which you have participated: |
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| Athletic Honors Received: |
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| Additional Information |
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| Names of friends or relatives who have attended Elon? |
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| Have you applied to Elon? |
Yes No
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| Would you like to visit the campus? |
Yes No |
| Date you would like to arrive: |
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| Have you registered with the NCAA Eligibility Center? |
Yes No |
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