Wrestling Recruits
Please fill out as completely as possible.

Required Fields in Bold

 
Personal

Name:
 
Date of Birth:
 
Address:
 
City:
 
State:
 
Zip:
 
Phone:
 
Cell Phone:
 
Email:
 
Father's Name:
 
Father's Occupation:
 
Father's Work Phone:
 
 
Mother's Name:
 
Mother's Occupation:
 
Mother's Work Phone:
 
Names and Ages of Brothers and Sisters:
 
 
Academics

High School:
 
High School Phone:
 
High School Address:
 
Guidance Counselor:
 
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?
 
 
Athletics

Height:
 
Weight:
 
Present Weight Class:
 
Projected College Weight Class:
 
 
Varsity Win-Loss Record by Year:

Freshman
 
Sophomore:
 
Junior:
 
Senior:
 
Wrestling Honors:
 
Other Sports:
 
High School Wrestling Coach:
 
High School Wrestling Coach Home Phone:
 
High School Wrestling Coach Office Phone:
 
Is video footage of matches available:
 
Club Wrestling Coach:
 
Club Wrestling Coach Home Phone: