| First/Given Name* |
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| Last/Given Name* |
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| Street/Postal Mailing Address* |
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| Street/Postal Mailing Address 2 |
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| City* |
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| State* |
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| Zip/Postal Code* |
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| Country* |
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Telephone
(include the US area code or country and city code) |
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| Email Address* |
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| Gender |
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Date of Birth*
(MM/DD/YYYY) |
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| Country of Citizenship* |
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| Year of HS Graduation* |
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| College Previously Attended (if any) |
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Intended Major*
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| Are you a home school student? |
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| NSO Membership |
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| I am a member of |
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| Other Programs |
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| I am a member of |
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| Athletic Information |
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| Number of total years on a HS varsity team |
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| What position did you play in high school? |
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| Height |
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| Weight |
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| HS Coach Name |
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| HS Coach Email |
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| HS Coach Phone |
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| What sport are you interested in playing at the JWU Denver Campus?* |
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| Are you or your parent(s) eligible for veteran's benefits? |
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| Do you plan to visit a JWU campus? |
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| Do you personally know anyone who has attended JWU? |
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| For office use only: |
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