Wrestling Prospective Athlete

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Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone Number *

Weight Class *

Year of Graduation

Date of Birth

High School

Coach

Coach's Home Phone

Rank in Class

PSAT Score

SAT(M)

SAT(V)

High School GPA

Desired College Major

Personal Statistics

How would you rate your interest in Behrend?

Top Choice Top 2-3-4 Possibly

Have you applied to Behrend?

Yes No

Do you plan to apply?

Yes No

Additional Information

* required field