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.

* = Required Information

Full Name: *

Address: *

City: *
  

State: *
  

Zip: *

Phone: *
  

Email:

Date of Birth:
  

Social Security #:

Father's Name:
  

Father's Occupation:

Mother's Name:
  

Mother's Occupation:

Parents Address:

Intended College Major: *

High School: *

Graduation Date: *

GPA: *
  

ACT/SAT: *

HS Coach:
  

Coach's Phone:

Club or AAU Team Name: *

Club/AAU Coach:
  

Coach's Phone:

Position: *

Height: *
  

Weight:

Honors/Awards:

Please specify where you would like this message sent:

Mens:
Baseball | Basketball | Cross Country | Football
Golf | Soccer | Tennis | Track

Womens:
Basketball | Cross Country | Soft Ball | Soccer
Synchronized Swimming | Tennis | Track| Volleyball