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Nagele College Planning Intake

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Please fill out our intake form so we can understand how to best serve you with the College Planning Process

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Question 1 of 7

Student's Name

Birthday:

High School:

Club:

Question 2 of 7

Parent's Names

Mother:

Father:

Anniversary:

Question 3 of 7

Phone Numbers

Mother:

Father:

Student-Athlete:

Question 4 of 7

Graduation year 

A

2025

B

2026

C

2027

D

2028

E

2029

F

2030

Question 5 of 7

What is Your Academic Interest in College?

Question 6 of 7

Where did you hear about us?

(Select all that apply)
A

Friend

B

Internet Search

C

Coach

D

Camp Program

E

Webinar

Question 7 of 7

Athlete interest

(Select all that apply)
A

Soccer

B

Volleyball

C

Basketball

D

Lacrosse

E

Track/Cross Country

F

Other

Confirm and Submit