Wrestling Recruiting Questionnaire

Email Secondary Email

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Personal Information

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Height

Weight

Date of Birth

Would you like to visit the campus?

Yes No Already Visited

Scholastic Information

High School

School Phone

Graduation Date

GPA

Class Rank

ACT

SAT

College course of interest

Wrestling Information

HS/College Coach

HS/College Coach's Phone #

HS/College Coach's Email

W/L Record

Freshman Wins

Freshman Losses

Sophomore Wins

Sophomore Losses

Junior Wins

Junior Losses

Senior Wins

Senior Losses

Weight Class

Freshman

Sophomore

Junior

Senior

Athletic and/or Academic Honors/Awards

Questions/Comments

Are game/match tapes available?

Yes No

Link to Game/Match video:

* required field