University of Nevada Athletics

Contact Information

First Name

Last Name

Email

Date of Birth

Home Phone

Address

City

State

Zip

High School

High School Address

High School City

High School State

High School Zip

High School Phone Number

Parent/Guardian

First Name

Last Name

Home Phone

Cell Phone

Alt Phone

Fax

Email

Address

City

State

Zip

Parent/Guardian

First Name

Last Name

- Same contact information as above

Home Phone

Cell Phone

Alt Phone

Fax

Email

Address

City

State

Zip

Academics

Graduation Year

Current GPA

Class Rank

Intended Major

SAT

Writing (Verbal)

Critical Reading

Math

SAT 2 Subject 1

SAT 2 Score 1

SAT 2 Subject 2

SAT 2 Score 2

SAT 2 Subject 3

SAT 2 Score 3

SAT 2 Subject 4

SAT 2 Score 4

ACT

English

Math

Reading

Science

PSAT Score

PLAN Score

Academic Comments

Club Teams & Events

Primary Position

NCAA Clearinghouse ID

Club Team 1

No. & Position

Tournaments & Showcases

Club Team 2

No. & Position

Tournaments & Showcases

Club Team 3

No. & Position

Tournaments & Showcases

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