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