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Jackrabbit wrestling recruit questionnaire
Fill in the following questionnaire as completely as possible.

Required Fields in Bold

 
Personal Information

Name:
 
Cell phone:
 
Home phone:
 
Home address (include city/state/zip code):
 
Email address:
 
Date of birth:
 
Height:
 
Weight:
 
Mother's name:
 
Mother's occupation:
 
Mother's phone:
 
Father's name:
 
Father's occupation:
 
Father's phone:
 
Parents' email:
 
Siblings:
 
 
High School Information

High school:
 
High school coach name:
 
High school coach email address:
 
High school coach phone:
 
GPA:
 
ACT/SAT scores:
 
Academic honors:
 
 
High School Wrestling Career

Freshman year record:
 
Freshman year weight:
 
Freshman year state placing:
 
Sophomore year record:
 
Sophomore year weight:
 
 
Sophomore year state placing:
 
Junior year record:
 
Junior year weight:
 
Junior year state placing:
 
Senior year record:
 
Senior year weight:
 
Senior year state placing:
 
Freestyle/Greco Accomplishments:
 
National Tournament placement or rankings:
 
Other Accomplishments:
 
 
College Information

Projected major:
 
Projected college weight class:
 
Registered through NCAA Eligibility Center?
 
Yes
No
Completed Financial Aid forms?
 
Yes
No