Concordia University, Nebraska

Wrestling questionnaire

Wrestling

If you are interested in Concordia athletics and would like to contact a coach, please fill out the following questionnaire.

GENERAL INFORMATION
1. Full Name


2. Sex:

Male Female

3. Date of Birth


4. Age


5. Today's Date


6. Address


7. City, State, & Zip Code


8. E-mail Address


9. Cell Phone Number


10. Home Phone Number


11. I live with:

Mom Dad Both Other
12. Father's Name


13. Occupation


14. Mother's Name


15. Occupation


16. Have you visited Concordia's campus? If so, when?


17. Who do you know that attends, has attended, or is connected with Concordia?


18. What other schools you are considering?


19. Why are you interested in Concordia?


20. Comments



ACADEMIC INFORMATION
21. Current School


22. City, State Zip (of school)


23. In what area of study do you plan to major?


24. School Phone


25. School Organizations and Honors


26. ACT Score


27. SAT Score


28. GPA


29. Class Rank

of
30. Graduation Date


31. Current High School/College Coach and Phone Number



ATHLETIC INFORMATION
32. Other sport you are interested in participating in at CUNE . . .

Men's Sports Women's Sports

Baseball
Men's Cross Country
Men's Golf
Football
Men's Track
Men's Soccer
Men's Tennis
Men's Basketball

Women's Cross Country
Women's Golf
Women's Track
Women's Soccer
Softball
Women's Tennis
Volleyball
Women's Basketball

33. Height
     
34. Season-by-season
  Weight Class Record Pins For Pins Against
Fr. Year
So. Year
Jr. Year
Sr. Year
35. High school overall record (wins/losses)

 
36. Postseason wrestling (advancement in regionals, state, etc.)




OTHER ATHLETIC INFORMATION
40. Name other sports played, your position(s), and any performance notes on the sport (honors, personal bests, averages, etc.)


Athletics pages are updated by Concordia's SID staff. Questions, comments:
© 2008 Concordia University, Nebraska
800 N. Columbia Ave. Seward, NE 68434
800-535-5494
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