Front Rush

Fields marked with * are mandatory

General

Legal FirstName *

*Please enter valid Legal FirstName

Last Name *

*Please enter valid Last Name

Preferred Name *

*Please enter valid Preferred Name

Middle Name

*Please enter valid Middle Name

Email Address *

*Please enter valid Email Address

Home Address1 *

*Please enter valid Home Address1

Home Address2

*Please enter valid Home Address2

City *

*Please enter valid City

State *

*Please enter valid State

Zip *

*Please enter valid Zip

Country

*Please enter valid Country

Citizenship

*Please enter valid Citizenship

CellPhone Number *

*Please enter valid number

Date of Birth

Open the calendar popup.

*Please enter valid Date of Birth

Graduation Year *

*Please enter valid number

Position *

*Please enter valid Position

Profile Image

*Please enter valid Profile Image

Suffix

*Please enter valid Suffix

Background

Parent/Guardian 1 Name

*Please enter valid Parent/Guardian 1 Name

Parent/Guardian 1 Phone Number

*Please enter valid Parent/Guardian 1 Phone Number

Parent/Guardian 1 Email Address

*Please enter valid Parent/Guardian 1 Email Address

Parent/Guardian 1 College Attended

*Please enter valid Parent/Guardian 1 College Attended

Parent/Guardian 2 Name

*Please enter valid Parent/Guardian 2 Name

Parent/Guardian 2 Phone Number

*Please enter valid Parent/Guardian 2 Phone Number

Parent/Guardian 2 Email Address

*Please enter valid Parent/Guardian 2 Email Address

Parent/Guardian 2 College Attended

*Please enter valid Parent/Guardian 2 College Attended

Siblings? Please list names and ages.

*Please enter valid Siblings? Please list names and ages.

Has anyone in your family attended Wesleyan?

*Please enter valid Has anyone in your family attended Wesleyan?

How strong is your interest in Wesleyan?

*Please enter valid How strong is your interest in Wesleyan?

Financial Aid? *

Yes

*Please enter valid Financial Aid?

Race(s) *

Latino

Hispanic

Caucasian

Native Hawaiian or Pacific Islander

Black

Asian / Asian American

American Indian / Native Alaskan

Other

*Please enter valid Race(s)

Pronouns

*Please enter valid Pronouns

Athletic

Recruiting Website/Video

*Please enter valid Recruiting Website/Video

Club Team

*Please enter valid Club Team

What's one word that describes you on the field? *

*Please enter valid What's one word that describes you on the field?

What's one word that describes you off the field? *

*Please enter valid What's one word that describes you off the field?

Athletic Resume

*Please enter valid Athletic Resume

Academic

High School

School Name

Address1

Address2

Address3

City

State

Zip

Country

CEEB Code

the school is not listed above

*Please enter valid High School

Student Type

Freshman

Transfer

*Please enter valid Student Type

Entry Term *

*Please enter valid Entry Term

Academic Interest 1

*Please enter valid Academic Interest 1

Academic Interest 2

*Please enter valid Academic Interest 2

Academic Interest 3

*Please enter valid Academic Interest 3

Counselor Name

*Please enter valid Counselor Name

Counselor Phone

*Please enter valid Counselor Phone

Counselor Email Address

*Please enter valid Counselor Email Address

Class Rank

*Please enter valid Class Rank

GPA *

*Please enter valid GPA

SAT Math

*Please enter valid number

SAT EBWR

*Please enter valid number

SAT Total

*Please enter valid number

ACT

*Please enter valid number

Transcripts

*Please enter valid Transcripts

Other College Choices

*Please enter valid Other College Choices

High School Coach

*Please enter valid High School Coach

High School Coach Email

*Please enter valid High School Coach Email

Club Coach

*Please enter valid Club Coach

Club Coach Email

*Please enter valid Club Coach Email

Club Coach Phone Number

*Please enter valid Club Coach Phone Number

I am intereseted in hearing about sports camps in my area through Ryzer.
When you opt in to Ryzer, we share your email address, zip code, and name with Ryzer so that they can send you information on relevant camps that you might be interested in.
The data in Ryzer is subject to their data privacy policy. Data in Ryzer does not expire and can be removed in Ryzer and by request anytime.

Personal Contacts

Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.

First

Last

Main #

Secondary #

Cell #

Questionnaires