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Wrestling Recruiting Questionnaire

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Please complete the following form with all available information. Hit the SUBMIT button at the bottom to electronically submit. If submitting an application by mail, please type or print all answers and mail to address listed at the bottom.

Indicates a Required Field
Last Name:
First Name:
Middle Initial:
Marital Status:
Email Address:
Date of Birth:
Street Address:
Home Phone:
Cell phone number:
Natural Weight:
High School Records: Freshman:
High School Records: Sophomore:
High School Records: Junior:
High School Records: Senior:
State Place or Qualifier: Freshman:
State Place or Qualifier: Sophomore:
State Place or Qualifier: Junior:
State Place or Qualifier: Senior:
High School Weight Class: Freshman:
High School Weight Class: Sophomore:
High School Weight Class: Junior:
High School Weight Class: Senior:
Other sports participated in & number of years:
Name of your current head coach:
Coach's Email Address:
Coach's Home Phone:
Coach's Office Phone:
Athletic Honors Received:
Name of your high school:
High school street address:
High school city:
High school state:
High school zip:
High school phone:
Cumulative Grade Point:
Class rank:
ACT Score (if available):
Graduation Date and Year:
Filed the Family Financial Statement Packet?:
Date filed:
EFC #:
Counselor's Name:
Academic Interest Area(s):
Mother's Name:
Mother's Street Address:
Mother's City:
Mother's State:
Mother's Zip:
Mother's Phone Number:
Father's Name:
Father's Street Address:
Father's City:
Father's State:
Father's Zip:
Father's Phone Number:
Marital Status of Your Parents:
Brothers & Sisters (Names & Ages):
Name / Signature:
Verification Code:
Questions or comments? Please email us at or call 712-362-2604 or 800-521-5054.
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