| Personal Information |
| *First name: |
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| *Last name: |
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| *Address: |
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| *City: |
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| *ZIP code: |
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| *E-mail address: |
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| *Phone number: |
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| Parent(s) or guardian(s): |
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Academic Information
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| Major: |
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| High school: |
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| School counselor: |
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| *Graduation year: |
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| Other colleges attended (if any): |
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Athletic Information
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| What other varsity sport(s) are you involved in? |
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| Number of golf letters won: |
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| HCP: |
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Average (18):
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| Golf honors and awards: |
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| Comments, questions or special requests: |
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