Questionnaires

Fields marked with * are mandatory
General
 *
*Please enter valid Legal First Name
*Please enter valid Middle Name
 *
*Please enter valid Last Name
 *
*Please enter valid Gender
 *
*Please enter valid Email Address
 *
*Please enter valid Home Address1
*Please enter valid Home Address2
 *
*Please enter valid City
 *
*Please enter valid State
 *
*Please enter valid Zip
*Please enter valid Country
*Please enter valid Date of Birth
*Please enter valid Entry Year
 *
*Please enter valid number
*Please enter valid number
 *
*Please enter valid MIL History in Immediate Family (Parent, Sibling)
*Please enter valid If Yes, Who and What Branch?
*Please enter valid Instagram Username
*Please enter valid Twitter Username
*Please enter valid Facebook Username
*Please enter valid Hispanic
*Please enter valid Ethnicity
 *
*Please enter valid Level of Interest in the USCGA?
Athletic
*Please enter valid number
*Please enter valid number
 *
*Please enter valid Last Season's Weight Class (Grade, Weight Class)
 *
*Please enter valid Projected College Weight
 *
*Please enter valid State or Prep National Qualifer (Select All)
 *
*Please enter valid State or Prep National Placer (Select All)
 *
*Please enter valid Gr11: State/Prep Place e.g. (VA, Div 6A, 1st, 132)
*Please enter valid Gr11: Season Record (W-L)
 *
*Please enter valid Gr10: State/Prep Place e.g. (VA, Div 6A, 1st, 132)
*Please enter valid Gr10: Season Record (W-L)
 *
*Please enter valid Gr9: State/Prep Place e.g. (VA, Div 6A, 1st, 132)
*Please enter valid Gr9: Season Record (W-L)
*Please enter valid Attended NHSCA Individuals (Select ALL That Apply)
*Please enter valid NHSCA Info - e.g. (JR, 132, 8th), No Place = DNP
*Please enter valid Attended The Super 32 (Select ALL That Apply)
*Please enter valid Super 32 Info - e.g. (JR, 132, 8th), No Place=DNP
*Please enter valid Attended Fargo (Select ALL That Apply)
*Please enter valid Fargo Info - e.g. (JR FS, 132, 8th), No Place=DNP
*Please enter valid Attended Preseason Natl,IA (Select ALL That Apply)
*Please enter valid PS-Nat'l Info - e.g. (JR, 132, 8th), No Place=DNP
*Please enter valid Other Wrestling Accolades (Nat'l Events, etc.)
 *
*Please enter valid High School Coach's Full Name
 *
*Please enter valid High School Coach's Cell Phone Number
 *
*Please enter valid High School Coach's Email
*Please enter valid Wrestling Club Team Name & State
*Please enter valid Club Coach's Name
*Please enter valid Club Coach Cell Phone Number
*Please enter valid Club Coach's Email
*Please enter valid Provide TrackWrestling Profile Link, or N/A
*Please enter valid Other HS Sports
*Please enter valid Other HS Sport Accolades
Academic
*Please enter valid High School
 *
*Please enter valid number
 *
*Please enter valid High School Classification
*Please enter valid number
 *
*Please enter valid Unweight GPA Range (out of 4.0)
*Please enter valid Does Your School Utilize Class Rank?
*Please enter valid Class Rank
 *
*Please enter valid Potential Major of Interest #1
*Please enter valid Potential Major of Interest #2
*Please enter valid If Other, Please List
 *
*Please enter valid Will Have Pre-Calculus Completed by HS Graduation?
 *
*Please enter valid Will Have Calculus Completed by HS Graduation?
 *
*Please enter valid Will Have Chemistry Completed by HS Graduation?
 *
*Please enter valid Will Have Physics Completed by HS Graduation?
 *
*Please enter valid Highest Anticipated Math Class - e.g. AP Calc BC
 *
*Please enter valid Highest Anticipated Science Class - e.g. AP Chem
*Please enter valid Total Number of Advanced Placement (AP) Classes
*Please enter valid Total Number of Dual Enrollment (DE) Classes
*Please enter valid number
*Please enter valid Highest SAT Math Section Score
*Please enter valid Highest SAT Critical Reading Section Score
*Please enter valid Future SAT Test Date (MM/DD/YY)
*Please enter valid ACT Composite
*Please enter valid ACT Math
*Please enter valid ACT Science
*Please enter valid ACT English
*Please enter valid ACT Reading
*Please enter valid Future ACT Test Date (MM/DD/YY)
*Please enter valid Other Academic Honors (NHS, Honor Roll, etc.)
 *
*Please enter valid Guidance Counselor Full Name
 *
*Please enter valid Guidance Counselor Email Address
Background
 *
*Please enter valid Parent/Guardian 1 - Full Name
 *
*Please enter valid Parent/Guardian 1 - Cell Phone Number
 *
*Please enter valid Parent/Guardian 1 - Email
*Please enter valid Parent/Guardian 2 - Full Name
*Please enter valid Parent/Guardian 2 - Cell Phone Number
*Please enter valid Parent/Guardian 2 - Email
 *
*Please enter valid Are You Considering Other Service Academies?
*Please enter valid If Yes, Which? If No, Write N/A.
*Please enter valid Other Non-Service Academy College Options
 *
*Please enter valid Did You Apply to the AIM Summer Program?
 *
*Please enter valid Have You Previously Applied to the USCGA?
Admissions
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
Close