personal information
First Name:
Last Name:
Address 1:
Address 2:
City:
State/Province: Other:
Zip/Postal Code:
Country: (if other than U.S.A.) 
Phone Number:
Email Address:
Current Weight: lbs
academics
Student Status: High School Undergraduate Graduate Other
Expected Date of Graduation:
I am not a KSU Student, but...

I am thinking about it.
I am going to apply to KSU.
I have applied, but am waiting to be accepted.
 I have been accepted to KSU and will be a student in the semester.
• Other:

(for Kansas State University enrollment information, please go to their Admissions Dept. website at: www.ksu.edu/admit)

GPA or Academic Rank (optional):
(Intended) Majors / Minors / Fields of Study:
wrestling background
Total Years Wrestled:
Previous Teams & Locations:
Experience:
(check all that apply)
Wrestler
Coach
Referee
• Other:
I am interested in:
Wrestling
Coaching
Coach's Assistant
• Other:
additional information
I heard about Kansas State Wrestling from:
(check all that apply)
My Coach
My Counselor
The Internet
A Kansas State Representative
Kansas State Recreational Services
• Other:

Please include any additional information or questions below.