Student-Athlete Prospect Questionnaire

We appreciate your interest in Prairie Wolves athletics. The following information will help us learn more about you.

First name: *	MI:	Last name: *	Preferred name:
Previous college:

Address: *	City: *	State: *	Zip: *
Country: *

Home phone: *

Format as xxx-xxx-xxxx

Cell phone:

Format as xxx-xxx-xxxx

Email address: *

Parents/Guardians: *

Brothers/Sisters:

Friends/Relatives who have attended NWU:

Hobbies/Other interests:

High school: *

Graduation year: *

GPA:

Class rank:	ACT score (comp):	SAT score (verbal):	SAT score (math):
Planned course of study:

College sports interested in playing: * 1.

Height:	Weight:	Speed (ex: 40 or mile):	Vertical:
Squat:	Clean:	Bench:

Sports participated in:

Personal bests, statistics, and other accomplishments:

Have you ever attended a Nebraska Wesleyan athletic camp? If yes, which sports?: *

Comments:

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Math question: * 7 + 9 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Nebraska Wesleyan University