Recruitment Information Form   Please complete and submit this form electronically by July 1, 2010     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.