Football Questionnaire

If you may have an interest in attending Wesleyan and becoming part of our football program, then please complete and submit this form in order to receive further information. Also, please send a video tape or DVD of one of your games and a transcript when they become available.

Today's Date:

Personal Information

Name: Nickname:

Street:

Town: State: Zip Code:

Ethnicity (Optional):

Home Telephone Number: Cell Phone Number:

Email Address:

Parent/Guardian 1:
College Attended:

Parent/Guardian 2:
College Attended:

Will you apply for financial aid?

Scholastic Information

School: School Phone:

Graduation Year: GPA: Class Rank:

PSAT- Verbal: Math: Writing:

SAT- Verbal: Math: Writing:

ACT:

Football Information

Height: Weight: 40 Time: Jersey Number

POSITIONS: Offense: Defense: Preference (Off or Def):

Specialty (Kicker, Punter, Long Snapper, Returner):

Interest in playing college football (Definite, Probable, Not Sure):

Football Honors:

Other Varsity Sports (put * near sports you wish to continue in college):

Football Coach: Office Phone: Home Phone:

Other colleges you are interested in:

Comments

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