PLEASE PRINT Questionnaire Completion Date ______________________________
| PERSONAL INFORMATION | ||
| Name | Name you prefer | |
| Enter your exact home address on the next two lines. | ||
| Street | ||
| City | State | Zip |
| Home Phone # | Email Address | |
| Date of Birth | Social Security # | |
| Father | Occupation | College |
| Mother | Occupation | College |
| Brothers/Sisters (include ages) | ||
| ACADEMIC INFORMATION | ||
| High School | Grade Pt Ave | |
| Have you taken the SAT or the ACT?
Yes _____
No _____ If yes, please include your test score. SAT _______________ ACT _______________ |
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| Do you plan on taking the SAT or ACT in the future? Yes _____ No _____ | ||
| Academic interest in college | Year you will graduate | |
| WRESTLING INFORMATION | ||
| Natural Weight | Wrestling Weight | Height |
| Wrestling Record: This Year ____________________ Total (grades 9-12) ____________________ | ||
| List all the school "size" classifications your state has from largest to smallest (circle your schools classification) |
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| List the place you earned at your state tournament as Jr _____ So _____ Fr _____ | ||
| Indicate place you earned at final qualifying tournament for state tournament as Jr _____ So _____ Fr _____ | ||
| Head Coach's Name | Coach's Phone # | |
| Circle the number of freestyle/greco tournaments you wrestled this past summer: 0 1 2 3 4+ | ||
| Did you qualify for your state's junior national team this past summer?
Yes _____
No _____ If yes, at what weight? _____ |
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| GENERAL INFORMATION | ||
| Edinboro alumni you know | ||
| Friends who are students at Edinboro | ||
| If you have been the recipient of scholastic or social honors, please list: | ||