Chadron State College

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Wrestling

Questionnaire

Contact Information
Last Name	First Name	M.I.
Mailing Address
City	State	Zip
Phone	Cell Phone	E-mail Address
Personal Information
Father's Name	Mother	High School Graduation Date
Wrestling Information
Height	Weight	Weight Class
Performance Record	Win	Loss
Freshman
Sophomore
Junior
Senior
Wrestling Honors
Wrestling Coach's Name	High School	Proposed Major
GPA	Rank	ACT Score

Security Code

Copyright © Chadron State College. All Rights Reserved.
Member, Nebraska State College System • CSC is an equal opportunity employer • Accreditation Information
1000 Main Street, Chadron, NE 69337 • 1-800-CHADRON