High School:		Year of Graduation:
School Address:
SAT Scores - Verbal:	Math:	Writing:
GPA:
Intended Major(s):

Years Playing Club:	High School:
High School Coach:	Phone Number:
Club Team:
Club Address:
Club Coach:	Phone Number:

Family:

Father:	Occupation:	College:
Mother:	Occupation:	College:
Name of Brother(s):	Name of Sister(s):

Have you registered with the NCAA Clearinghouse through your guidance office? Yes No
If you have registered, when?
Did you list Northeastern as one of the schools allowed access to your file? Yes No
If no, please see your guidance counselor immediately.

Please input upcoming tournaments/game schedule:

Any other questions or comments, please use the space below: