UW-Eau Claire Athletics - Wrestling Prospect Form


Personal Information

Legal First name:
Last name:
Address:
City, State, Zip:
Date of Birth:
Phone:
Email:
Father's Name:
Father's Occupation:
Mother's Name:
Mother's Occupation:

High School Information

High School:
High School Address:
City, State, Zip:
Coach's Name:
Coach's Phone:

Academic Information

Interested Area(s) of Study:
G.P.A: out of Semesters
Class Rank:
Year of Graduation:
ACT score:
SAT score:
Academic Honors/Awards:
Interest in Eau Claire: Strong
  Average
  Slight
Have you applied to UW-Eau Claire? Yes No
Have you been accepted to UW-Eau Claire? Yes No
Other Schools Interested In:

Athletic Information

Height:
Weight:
Weight Class:
Athletic Honors/Awards:
Other Sports Played: