Athletic Interest

First Name

Preferred Name

Last Name

Birthdate

High School

GPA

Social Media Handles (Twitter, Instagram, etc.)

Sports Information

Sport

Jersey #

Intended Position

High School Coach Full Name

High School Coach Phone Number

Have you had any contact with current Butler coaches?

Yes

Butler Coach

Recruitment Profile Link

Would you like to make any comments to the Butler coach?

Enrollment Information

Student Type

I plan to enroll in:

Anticipated Major

Academic Interest Category

Contact Information

Country

Street

City

Region

Postal Code

Mobile

I would like to receive occasional SMS/text messages from Butler University about upcoming events, admission deadlines, and more.

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Parent/Legal Guardian Information
Parent/Legal Guardian Information Parent/Guardian Type Parent/Guardian First Name Parent/Guardian Last Name Parent/Guardian Email

Add Parent/Guardian

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Athletic Interest

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