Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              Please list your current GPA 
              
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                This is helpful in determining which schools will be the best fit for you
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              I am currently (a): 
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Please select all that apply to you during your time in high school 
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Select the top five things most important for your college/university to have:
              
             
          
                All traditional colleges/universities must make accommodations for students with special needs and disabilities. If your top five includes attending a school with a special program or society, please specify in the last text box. 
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please list the Major(s)/Minors / career that you are currently interested in pursuing
              
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              Please list if you are interested in a specific sorority/fraternity/sport/extracurricular activity that is a deciding factor in you choosing a college/university 
              
             
          
                Please include your preferences for the the division of the sport that you are interested in (i.e. "I am interested in football at a D1 school that allows walk ons")
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If you selected 'Location and Distance From Home' Please include the current state you live in and your preference of the location (urban, suburban, small town, rural)
              
             
          
                for example:
 "I live in Texas and do not want to attend school in this state" 
"I live is Florida and want to attend college in a rural area in either Colorado, Utah, North Dakota" 
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please list anything else you think is important for this college/university match
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Please select all that apply to you