High School Graduation Month and Year

Name (First and Last)

Social Security Number

Date of Birth

Home Phone

Cell Phone

Your e-mail address

Current Address

City

State

Zip

Country (if outside U.S.A.)

Parents names

High School attended

Overall GPA

ACT/SAT score

Date taken

Class rank (example: 23 of 129)

Schools attended after high school, if a transfer:

Have you filed the federal financial aid form

yes no

Sports you participate in:

Have you applied for admission at Neosho County?

yes no

Have you visited the Neosho County campus?

yes no

Athletic Information

Height

Current Weight

High School Wrestling Honors (place in state meet, etc...):

High School Coach's Name

Toughest opponent you have wrestled & his high school