EDINBORO UNIVERSITY WRESTLING QUESTIONNAIRE

Tim Flynn, Wrestling Coach
McComb Fieldhouse
Edinboro University of Pennsylvania
Edinboro, PA 16444
(814) 732-2776, ext. 256
email: tflynn@edinboro.edu

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 _______________
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)

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? _____
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: