Northern State Wrestling Questionnaire

Full Name
Street Address
City
State
Zip
Phone
E-Mail
Social Security #
Date of Birth
Names of parents
High School
High School Graduation Date
GPA
ACT/SAT score
Date taken
Class rank (example: 23 of 129)
Schools attended after high school:
Have you applied to the NCAA Clearinghouse? yes no
Have you filed the federal financial aid form? yes no
Sports participated in while in high school:
Have you received an application and/or information about Northern State? yes no
Have you visited the NSU campus? yes no
Anticipated academic major at NSU

Athletic Information
Height
Current Weight
Intended College Weight
Weight Class as a H.S.: Sr. Jr. So. Fr.
Wrestling Record as a H.S.: Sr. Jr. So. Fr.
High School Wrestling Honors (place in state meet which year, etc...):
High School Coach's Name
Coach's phone number
Coach's street address 

Your E-mail address*: 
 
*This is a REQUIRED FIELD. If you do not have an e-mail address, 
type in your last name with NO SPACES!

Extra Information:

Hitting "Send" will e-mail the form directly to NSU head wrestling coach Patrick Timm.
Hitting "Clear" will clear the form and not send it anywhere.
Thanks for your interest in Northern State Wrestling!

 
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