• Adobe Acrobat .PDF file
• Microsoft Word .DOC file

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Wrestling Questionnaire

NCAA Guide for the College-Bound Student Athlete

PERSONAL INFORMATION
Name	(Full name please...First, MI, Last)
Home Phone
Cell Phone
Current Address
City
State
Zip
Country (if outside U.S.A.)
Your e-mail address
Date of Birth
Social Security Number
Fathers name
Fathers occupation
Fathers work phone
Mothers name
Mothers occupation
Mothers work phone
Names and ages of Brothers and Sisters
ACADEMIC INFORMATION
High School attended
Graduation year
High School address
High School phone number
High School Counselor
Overall GPA
Test scores	ACT SAT
Class rank
Academic Honors
Have you applied for admission to UCM?	yes no
Have you visited the UCM campus?	yes no
Have you filed with the NCAA Eligibility Center (Formerly the Clearinghouse)?	yes no
Academic / Career Interests
Junior College Student-Athletes Only
Junior College attended
City
State
Junior College Coach
Coaches Telephone Number
Hours completed
GPA
Semesters Attended
ATHLETIC INFORMATION
Height
Current Weight
Present Weight Class
Projected CollegeWeight
Varsity Wrestling Record Sr. Jr. So. Fr. State Placing Sr. Jr. So. Fr.
Other Wrestling Honors
High School Coach's Name
High School Coach's Phone Number	Home Office
Are video tapes of your matches available?	yes no
List your top three college choices

Note: Hitting "reset" clears the entire questionnaire. Hitting "submit" sends the questionnaire to us and sends you to a "Form Confirmation" page, which means that your questionnaire was successfully sent to us and that you DO NOT need to submit another one unless there was an error in the information you provided. Thank you!