| First Name |
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| Last Name |
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| Prefer to be called |
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| High School Graduation Year |
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| Home Street Address |
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| City |
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| State |
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| Zip |
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| Email |
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| Parent or Guardian |
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| Home Phone |
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| AIM |
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| Cell Phone |
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| High School |
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| School Address |
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| Coach's Name |
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| Counselor's Name |
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| Church Affiliation |
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| F.A.F.S.A. Filed? |
|
| If yes, did you request results sent to B-W? |
|
| Father's Occupation |
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| Mother's Occupation |
|
|
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| Age |
|
| Birth Date |
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| Height |
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| Weight |
|
|
|
| Track Events |
& Best Time or Distance |
| Event |
Time or distance |
| Event |
Time or distance |
| Event |
Time or distance |
| Event |
Time or distance |
| Cross Country Distance |
Time |
|
|
| If you possess any high school records or honors, please indicate |
|
| Other Sports |
|
| Other College or University |
Preferences |
| 1. |
|
| 2. |
|
| 3. |
|
|
|
| SCHOLASTIC INFORMATION |
|
| What do you want to study in college? |
|
| What is your vocational interest? |
|
| When did/will you take the SAT? |
|
| ACT? |
|
| Did you request results sent to B-W? |
|
| SAT Scores |
V M |
| ACT Comp |
|
| Units of Math |
|
| Units of foreign language |
|
| Rank in class |
|
| Grade Point Average |
|
| Academic achievements/honors/awards |
|
|
|
| List any student friends at B-W |
|
| List any B-W Alumni whom you know |
|
275 Eastland Rd.