On-Line Recruiting

On-Line Recruiting Questionnaire

Please fill out the following form and a Walsh University representative will contact you upon receipt. Or, you can call us directly at 800-362-9846, Monday - Friday, 8:00 a.m. - 5:00 p.m. EST.

Recruiting Form

* = Required

Your Information
Full Name* Address* City* State* Zip* Phone* E-mail	Date of Birth Social Security # Height* Weight
Your Parents Information
Father's Name Father's Occupation Parent's Address	Mother's Name Mother's Occupation
Education
High School* GPA* Graduation Date*	Intended College Major* ACT/SAT* Honors/Awards
Athletics
Position* HS Coach Coach Phone # Mens: Please Specify Where To Send Tennis Golf Basketball Baseball Soccer Cross Country Football Track	Club or AAU Team Name* Club/AAU Coach Coach Phone # Womens: Please Specify Where To Send Basketball Cross Country Softball Soccer Synchronized Swimming Tennis Track Volleyball

Please enter the value you see below in the image.

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