Rider University - Wrestling Questionnaire

Fields marked with an asterisk (*) are mandatory

Personal
Name:
Date of Birth:
Address:
City:
State:
Zip:
Phone:
Cell Phone:
Email:
Fathers Name:
Fathers Occupation:
Fathers Work Phone:
Mothers Name:
Mothers Occupation:
Mothers Work Phone:
Names and Ages of Brothers and Sisters:
Academics
High School:
High School Phone:
High School Address:
Guidance Conselor:
Class Rank:	/
GPA:
SAT Test Scores:
ACT:
Graduation Year:
Desired Major/Academic Interests:
Academic Honors:
Other schools you are considering?
What is your interest level in RIDER UNIVERSITY?	Very Some What Unsure
Athletics
Height:
Weight:
Present Weight Class:
Projected College Weight Class:
Varsity Win-Loss Record:	FR: SO: JR: SR:
Wrestling Honors:
Other sports:
High School Wrestling Coach:
High School Wrestling Coach Home Phone:
High School Wrestling Coach Office Phone:
Are video tapes of matches available:	Yes No
Club Wrestling Coach:
Club Wrestling Coach Home Phone:

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