Recruitment Information Form
Please complete and submit this form electronically by June 1, 2008
All Fields are required. If a field does not apply please type in n/a.
First Name:
Middle Name:
Last Name:
Nickname:
E-mail:
Address:
City:
State:
Zip:
Phone:
Date of Birth (01/01/87):
Father's Name:
Mother's Name:
Maiden Name:
High School:
GPA:
Scale:
City:
Graduation Date:
College will attend:
Classification:
College previously attended:
GPA:
I have obtained parent approval to submit this information.