Knowing when and where to start makes a difference!

EPZ Student Athlete Profile Request

Now that you've logged in, please complete and submit this form to request your student athlete profile.

Student Athlete Profile Information

 

Player Information

First Name:*
Last Name:*
Gender:*

Phone:*
Address:*
City:*
State:*
Zip:*
 
E-mail Address:*
 
Birthday:* (Format: mm/dd/yyyy)
 
School Level*


Approx. Graduation Date:* (Format: mm/dd/yyyy)
Height:*
Weight:
Upload Profile Photo:
 

Parent Information

 

Father's Name:
Father's Phone:
Father's Email:
Mother's Name:*
Mother's Phone:*
Mother's Email:*
 

Athletic Information

Main Sport:*
Select other sports:
Defensive Position(s)*
Offensive Position(s)*
Jersey No.:*
Online Video Link:
Athletic Honors:
40 Yard:
100 Meter:
200 Meter:
400 Meter:
Vertical
Bench:
Squat Lift:
 

Team/Coach Information

High School:*
Address:*
City:*
State:*
Zip:*
Phone:*
Fax:*
School or Team Colors*
High School Head Coach:*
Cell Phone:*
Email Address:*
Club Name:
Club Team Colors:
Club Coach:
Cell Phone:
Email Address:
 

Academic Information

Guidance Counselor:*
Email:*
Phone:*
 
NCAA Eligibility Center ID:
Grade Point Average;*
SAT Math:*
SAT Reading:*
SAT Writing:*
ACT Score or date scheduled to take:
Academic Honors (i.e., honor roll):
Anticipated College Major:*

College/University Preferences

NCAA Division:*



 
U.S. Region (See map below):*





 
List States: (only if you want to limit your choices to particular states)
 
Top 10 schools you are interested in applying to:
 

US_Regions.png

 

Pre-Appointment Checklist

(Check if completed)



To prevent spam, please tell us:
What is nine plus eight?*
Powered by liveSite