Geico Banner 2014-15
CSUB Wrestling Prospective Athlete Questionnaire
If you are interested in CSU Bakersfield Wrestling please respond to the following questions, giving as much information as possible. If you have any questions about the program, please contact head coach Manny Rivera via email at mrivera48@csub.edu or by phone at 661-654-2343.

Required Fields in Bold

 
Contact Information

Full Name
 
Grad Year
 
Height, Weight
 
Mailing Address
 
City
 
State
 
Zip
 
Home Phone
 
Cell Phone
 
Email
 
Birth Date (mm/dd/yy)
 
Mother's Name
 
Mother's Cell Phone
 
Father's Name
 
Father's Cell Phone
 
 
Academic Information

High School Name
 
Location (City, State & Country if outside the USA)
 
Current Grade Point Average
 
Class Rank
 
SAT Score
 
ACT Score
 
TOEFL Score
 
Are you registered with the NCAA Clearinghouse?
 
Yes
No
 
High School Accomplishments

 
Season Record
 
State Finish
 
High School Coach
 
High School Coach Phone
 
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