Application Date: ____________

Applicant Name: __________________________________________

Address: _________________________________________________

City, State, Zip Code _______________________________________

Phone #: _______________________

Age: ____________

Sex: _____________

H.S. Graduation Date: __________________________

High School: _______________________________________________

Guidance Counselor: __________________________________________

Counselor’s Phone #: ______________________________

Class Rank: _______________

GPA: ____________

SAT or ACT Scores: ________________________

Current AAU Club: ________________________________________________

Previous AAU Clubs: ________________________________________________

___________________________________________________________________

Total Years Registered AAU: _____________________

Have you participated as an AAU member the last 3 years ( circle-one) yes / no.

List sports that you participated in and year: _____________________________

________________________________________________________________________

List other activities and or awards from AAU, School or other organizations.

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________

PLEASE PROVIDE ON A SEPARATE 8 ½ X 11 DOUBLE SPACE TYPED OR HAND WRITTEN

SHEET OF PAPER A MINIMUM OF A300 WORD ESSAY THAT INCLUDES THE

FOLLOWING:

1. WHAT YOU HAVE LEARNED THRU YOUR PARTICIPATION IN THE AAU PROGRAM.

2. HOW THIS PARTICIPATION IN THE AAU WILL HELP YOU IN THE FUTURE.

3. WHAT ARE YOUR GOALS FOR BOTH COLLEGE AND LIFE?

SIGNATURE: ___________________________________________________________

DATE: _________________________