UNIVERSITY OF WISCONSIN EAU CLAIRE
FOOTBALL

PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
HOME PHONE  
CELL PHONE  
EMAIL  
ADDRESS  
 
CITY  
STATE  
ZIP  
DATE OF BIRTH  
GRADUATION YEAR  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S CELL  
FATHER'S OCCUPATION  
FATHER'S ALMA MATER  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S CELL  
MOTHER'S OCCUPATION  
MOTHER'S ALMA MATER  

ATHLETIC INFORMATION

JERSEY NO  
 

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POSITION  
HEIGHT  
WEIGHT  
40 YARD  
BENCH PRESS MAX  
SQUAT MAX  
POWER CLEAN MAX  
VERTICAL JUMP  
DO YOU HAVE TAPE AVAILABLE ONLINE?  
IF YES, WHAT IS THE LINK?  
 

IF YOU DON'T HAVE VIDEO AVAILABLE ONLINE, PLEASE SEND A DVD, WHEN AVAILABLE, TO...

 

Ben Halder, Recruiting Coordinator, 105 Garfield Ave., PO Box 4004, Eau Claire, WI 54702

ACADEMIC INFORMATION

GRADE POINT AVERAGE  
CLASS RANK  
ACT  
COMPLETED 2 YEARS OF FOREIGN LANGUAGE?  
LEVEL  
HS/JC/COLLEGE NAME  

ADDRESS  
 
CITY  
STATE  
ZIP  
PHONE  
HS COACH'S FIRST NAME  
HS COACH'S LAST NAME  
HS COACH'S OFFICE PHONE  
HS COACH'S CELL PHONE  
HS COACH'S EMAIL  
HOMETOWN NEWSPAPER  
FRIEND OR FAMILY OF UW-EAU CLAIRE YOU KNOW  
PLEASE CERTIFY THAT YOU ARE A HIGH SCHOOL JUNIOR OR SENIOR, OR ARE A CURRENT COLLEGE STUDENT   Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.