Men's Rugby

 

Men's Rugby Recruitment Questionnaire

All data collected is private and confidential. Information will be used only internally and will not be released to persons or institutions outside Norwich University without your written consent.

* = REQUIRED


Personal Information

Name:*

Street:*

City:*

State:*

Zip/Postal Code:*

Country:*

Phone:*

Cell Phone:

Email:*

Best Time to Reach You:

Mother's Name:

Mother's Occupation:

Father's Name:

Father's Occupation:

Academic Information

High School:

High School Address:

High School City:

High School State:

High School Zip:

Graduation Year:

GPA:

SAT Score:

ACT Score:

Class Rank:

Intended Major at Norwich:

Other Sports Played (HS or Recreational):

School/Community Activities:

Rugby Information

Height:

Weight:

Club Affiliation:

Coach's Name:

Coach's Phone:

Coach's Email:

Rugby Experience:

Honors/Awards:

Other Comments:

General Information

How Interested Are You in Norwich?:

Have you visited Norwich?

Yes
No

If so, when?

Are you interested in the Corps of Cadets?


Yes
No

If so, which military service appeals to you most?


Army
Navy
Marine Corps
Air Force

Contact Information

Coach Robert Weggler
P. 802.485.2237
F. 802.485-2234
rweggler@norwich.edu

Rugby Office
Norwich University
158 Harmon Dr
Northfield, VT 05663 USA

Send Request

To send your request, press Submit.