University of Wisconsin-Whitewater - Football Recruiting Form

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Football Recruiting Form

If you are interested in Warhawk athletics or just want more information about any of the programs, fill out the following questionnaire and we will get back to you within the next couple of days.

General Information

* denotes required field

First Name:*
Last Name:*
Middle Name:*
Email Address:*
Date of Birth:*
Sex (M/F):*
Address:*
City:*
State:*
Zip:*
Phone Number:*
Cell Phone Number:*
Guardian/Parent 1 Name:*
Occupation:*
Alma Mater:
Guardian/Parent 2 Name:
Occupation:
Alma Mater:
Brothers/Sisters:
Alma Mater:

Athletic Background

High School:*
Coach:*
Coach's Phone:*
Offensive Position:
Defensive Position:
Preferred College Position:
Height:*
Weight (lbs):*
Jersey Number:*
40 Yard Dash Time (seconds):*
Bench Press Max (lbs):*
Squat Max (lbs):*
Other Sports:
Football Honors:*

Educational Information

Desired Major/Interests:*
ACT/SAT Score:*
High School Grad. Date:*
High School GPA:*
Class Rank/Out of:*
Academic Honors:*
Other Information: