If you are a prospective student interested in participating in the Norwich wrestling program, our coaching staff would appreciate your completing this 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
Name:*
Street:*
City:*
State/Province:*
Zip/Postal Code:*
Country:*
Phone:* Cell Phone:* Best time to reach you:* Email:*
Date of Birth:
Height:
Weight:
Mother's/Guardian's Name:
Father's/Guardian's Name:
High School Coach:
Coach's Home Phone:
Coach's Work Phone:
Your Years on Varsity:
Weight Class:
Wrestling Record (list by year): Tournament Record: Do you have any films available? Yes No
School Name:
Street Address/PO Box:
City:
State/Province:
Zip/Postal Code:
Guidance Counselor:
Guidance Counselor Phone:
Your Graduation Year:
Class Rank: GPA:
SAT Score - Verbal:
SAT Score - Math:
ACT Score:
Academic/Career Interests:
Intended Major at Norwich: Accounting Architecture Bachelor of Arts Undeclared Bachelor of Science Undeclared Biochemistry Biology Chemistry Civil & Environmental Engineering Communications Computer Engineering Computer Science Computer Securities & Information Assurance Criminal Justice Electrical Engineering English Environmental Science Geology History International Studies Management Mathematics Mechanical Engineering Nursing Physical Education Physics Political Science Psychology Sports Medicine (Athletic Training) Sports Medicine (Health Science) Studies of War & Peace
How Interested Are You in Norwich?: Strong Average Below Average
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
Questions/Suggestions:
Alex Whitney whitneya@norwich.edu 802.485.2863 Wrestling Head Coach Norwich University 158 Harmon Drive Northfield, VT 05663 USA
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