Rutgers Wrestling Recruiting Questionnaire

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Please fill out the following form completely and press the "Submit" button.

PERSONAL

First Name: Last Name

Cell Phone #:

Street Address:

City: State: Zip:

Email address:

Parent's Email address:

Age: Birthday: xx / xx /xx

Father's Name: Cell Phone #: Occupation:

Mother's Name: Cell Phone #: Occupation:

Brothers and Sisters
Name: Age:
Name: Age:
Name: Age:
Name: Age:

ACADEMIC

Have You Applied to the NCAA Clearinghouse (www.ncaaclearinghouse.org)? : Yes No Intend to

If YES, Clearinghouse ID#:

High School: Graduation Date (month/year):

Overall GPA: Class Rank:

Guidance Counselor: Guidance Counselor Phone#:

SAT Scores: Math Verbal Date taken: ACT (Comp.):

Intended Major/Line of Study:

Family/Friends that attended Rutgers:

Do we have permission to obtain your transcripts? Yes No

WRESTLING

HS Coach:

HS Coach's Phone: HS Coach's email:

Natural Weight: Wrestling Weight: Height:

Varsity Record: Freshman: Soph.: Jr.:

Wrestling Honors

OTHER

Top Three Reasons You Will Choose a School:

Please Rank Your Top 5 College Choices (#1 being your top choice)

List Other People That Will Help You Make Your College Decision:

Name: Phone: Email: