Personal Infomation

Who is completing this form? *

athlete parent

Please select WRESTLING from the drop down menu *

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone Number *

Name you go by

Date of Birth *

Home Phone

Cell Phone *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Preferred Method of Contact *

Email Phone Call Text Message

Living Arrangements *

On Campus Off Campus - commute from home Off Campus apartment Undecided

Campus Location Preference *

Please select all that apply

Urban Suburban Rural No preference

Regional Preference *

Please choose all that apply

New England (ME, NH, VT, MA, CT, RI) Mid-Atlantic (NY, PA, NJ) South Atlantic (WV, MD, DC, DE, VA, NC, SC, GA, FL) East North Central (WI, MI, IL, IN, OH) East South Central (KY, TN, MS, AL) West North Central (ND, SD, MN, NE, KS, IA, MO) West South Central (OK, TX, AR, AL) Mountain (MT, ID, WY, NV, UT, CO, AZ, NM) Pacific (AK, WA, OR, CA, HI)

Academic Information

High School *

Graduation Year *

If transfer student, current college/university

Years competed at previous institution

Transfer students only

Are you interested in attending a college/university with a religious affiliation? *

Yes No Unsure

GPA *

Class Rank

SAT Reading Score

SAT Math Score

SAT Writing Score

ACT Composite Score

Intended Major *

Secondary Major

Academic Honors/Awards

Athletic Information

Height

Weight

Weight Class(s) *

Preferred Weight Class(s) *

Experience *

List classes and matches wrestled at each

Please list any Individual Awards, Team Awards, Career Highlights, and Personal Achievements

Have you already committed to a college/university? *

Yes No

References

High School Coach *

Please provide name and contact information

Club Information

Please provide: Club name, Coach name and contact information

Previous Institution Information

Please provide: Institution name, Coach name and contact information

If you have other recruit profiles/links to video or other supporting information please provide the links here:

All information must be available via link, the form does not support file uploads

Additional Supporting Information

Personal Statement, Career Interests, Volunteerism, Etc.

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USCAA Wrestling Recruit Profile

Personal Infomation

Academic Information

Athletic Information

References