2019 WEST/MID-WEST REGION HIGH SCHOOL
FINAL TOP 20 RANKINGS
| Rank | School Name | City, State | Record | Previous | Finish |
|---|---|---|---|---|---|
| 1 | New Trier High School | Winnetka, Illinois | 29-2-1 | 1 | Illinois State Champions |
| 2 | Assumption High School | Louisville, Kentucky | 16-9-1 | 2 | Kentucky State Champions |
| 3 | Sacred Heart Academy | Louisville, Kentucky | 21-8-0 | 3 | Kentucky State Semifinalist |
| 4 | Lake Forest High School | Lake Forest, Illinois | 22-4-2 | 4 | Illinois State Runner-Up |
| 5 | Dexter High School | Dexter, Michigan | 19-1-2 | 5 | Michigan Division I State Champions |
| 6 | Columbus Academy | Columbus, Ohio | 20-0-1 | 6 | Ohio State Champions |
| 7 | St. John's School | Houston, Texas | 15-2-0 | 7 | SPC Champions |
| 8 | Christian Academy of Louisville | Louisville, Kentucky | 16-7-1 | 10 | Kentucky State Runner-Up |
| 9 | MICDS | Saint Louis, Missouri | 18-3-1 | OC | MidWest Tournament Champions |
| 10 | du Pont Manual High School | Louisville, Kentucky | 19-3-4 | 11 | Kentucky State Semifinalist |
| 11 | Villa Duchesne & Oak Hill School | Saint Louis, Missouri | 19-5-0 | 8 | Midwest Tournament Runner-Up |
| 12 | Pioneer High School | Ann Arbor, Michigan | 13-3-2 | 13 | Michigan Division I State Runner-Up |
| 13 | Scripps Ranch High School | San Diego, California | 22-3-1 | OC | San Diego Section Open Division Champions |
| 14 | Archbishop Mitty High School | San Jose, California | 18-2-2 | 19 | Central Coast Section Champions |
| 15 | Saline High School | Saline, Michigan | 12-2-3 | 16 | Michigan Division I State Semifinalist |
| 16 | Harvard-Westlake School | Los Angeles, California | 18-0-0 | 15 | LAFHA Champions |
| 17 | Shaker Heights High School | Shaker Heights, Ohio | 19-2-0 | 17 | Ohio State Runner-Up |
| 18 | Serra High School | San Diego, California | 22-3-0 | 9 | San Diego Section Open Division Runner-Up |
| 19 | Los Gatos High School | Los Gatos, California | 15-1-1 | 12 | Central Coast Section Runner-Up |
| 20 | Colorado Academy | Denver, Colorado | 18-0-0 | 20 | Colorado State Champions |
| OC | John Burroughs School | Saint Louis, Missouri | 15-3-1 | 14 | MidWest Tournament Semifinalist |
| OC | Kinkaid School | Houston, Texas | 13-7-0 | OC | SPC Runner-Up |
| OC | Marian High School | Bloomfield Hills, Michigan | 12-3-1 | OC | Michigan Division I State Semifinalist |
| OC | Regis Jesuit High School | Aurora, Colorado | 14-2-2 | OC | Colorado State Runner-Up |
| OC | Thomas Worthington High School | Worthington, Ohio | 17-2-2 | 18 | Ohio State Semifinalist |
| OC | Torrey Pines High School | San Diego, California | 22-4-0 | OC | San Diego Section Open Division Semifinalist |
