Online 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.

* = Required Information

Full Name ^*

Address ^*

City ^*

State ^*

Zip ^*

Phone ^*

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

Which Sport are you interested in?

Mens

Womens

Sep. 3, 2010

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Walsh University
2020 East Maple Street NW
North Canton, OH 44720
800.362.9846 | 330.490.7090

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