* - Required N/A - If not applicable
Your General Information
*First Name:
Middle Name:
*Last Name:
*Email Address:
*Birthdate:
*Address:
*City:
*State or Country:
*Zip Code:
*Home Phone:
*Cell Phone:
*Height:
*Weight:
*Father's Name:
*Occupation:
*Alma Mater:
*Work Phone/Email:
*Mother's Name:
High School Information
*High School:
*Graduation Date:
*Phone Number:
*NCAA ID Number:
*GPA:
*SAT Verbal Score:
*SAT Math Score:
*SAT Writing Score:
*ACT Composition/Average:
*Planned Major:
Athletic Information
*High School Coach:
*Phone Number/Email:
*Cell Phone Number:
*Club Team:
*Club Coach:
*Please list your primary event (s):
*Please list your athletic accomplishments (personal bests, rankings, awards, etc):
Other Information
*Do you know anyone currently attending Arizona? Who?
*Why are you interested in Arizona?
*List the top three universities of your choice (in order of preference - include Arizona if appropriate)