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:
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:
Position: *
Height: *
Weight:
Honors/Awards:
