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Personal Information
First:
Last:
Address:
City:
State: Zip Code:
Date of Birth: Height:
Home Phone: Weight:
Cell Phone When is a good time to call?
email:

Family Information
Parents Names
Occupations
Colleges
E-mail Address


Athletic Information
Tournament Results/Scores:
High School:
USGA/State/Region GA:
Junior Tournaments (AJGA, PGA, etc)
Club/other PGA:
High School Scoring Average
Individual High School Record So. Jr. Sr.
USGA Handicap Index
Golf Strengths
Golf Weaknesses
Athletic Honors
High School Coach: Phone:
Coach Email Address
PGA Pro: Phone:
PGA Pro Email Address

Academic Information
High School:    
Address
Guidance Counselor
Counselor Phone/Email:
GPA Grad Yr.
Class Rank: Class Size:
PSAT Written: PSAT Verbal: PSAT Math:
SAT Written: SAT Verbal: SAT Math:
ACT English ACT Written ACT Math
ACT Science Composite ACT Score
SAT II
List Subject Names and Scores
AP Courses
Test Scores
Academic Interests
Academic Honors
Community Activities
Have you submitted an application?
Would you like to receive an application?
Are you applying early decision?
Will you be applying for financial Aid?
Have you completed your CSS/Profile?
Are you planning a campus visit? When?
List in order of preference, the Colleges you are
interested in attending (including Brandeis)
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