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Personal Information
Graduation Year *
First Name * Middle Name
Last Name * Preferred Name
Address * City *
State * Zip *
Email * Birth Date *
Home Phone Cell Phone *
Clearinghouse * Clearinghouse ID
Facebook Twitter
Family Information
Father's Name Father's Occupation
Father's Employer Father's Home phone #
Father's Work Phone # Father's Cell Phone #
Father's Email Father's College
Mother's Name Mother's Occupation
Mother's Employer Mother's Home phone #
Mother's Work Phone # Mother's Cell Phone #
Mother's Email Mother's College
I live with If other:
The names and ages of my siblings are:
Marital Status  
Athletic Information
Event 1 Event 2
Time Time
Meet Meet
Event 3 Event 4
Time Time
Meet Meet
Event 5 Event 6
Time Time
Meet Meet
Event 7 Event 8
Time Time
Meet Meet
Height ft in Weight
Other Sports
My online video link is:
Academic Information
Core GPA
Class Rank
SAT Math SAT Written
SAT Verbal
Test Date
Intended Course of Study:
School State *
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School Name School Address
School City School ZIP
School Phone School Fax #
Counselor's First name Counselor's Last name
Coach First Name Coach Last Name
Coach Work Phone Coach Home Phone
Coach Cell Phone Coach Email
Coach Alma Mater
AAU/Club Team Information
Club Team Name
Coach First Name Coach Last Name
Coach Work Phone Coach Cell Phone
Coach Email Alma Mater
My top priorities in choosing a college program are:
1. 2. 3.
The 5 schools I plan to visit or are most interested in attending are:
1. 2. 3. 4. 5.
Transcript Release
I authorize the release of my transcript and test scores to CLEMSON.