If you are interested in Football at UW-River Falls and would like additional information, please fill out and submit the form below. Make this form submission more secure (https:)
Last Name:
First Name:
Middle Name:
Street Address:
Street Address Line2:
City:
State/Province:
Zip Code:
Phone with Area Code:
email:
What semester do you want to begin? Fall 2009 Spring 2010 Fall 2010 Spring 2011 Fall 2011 Spring 2012
Birth Date (mm/dd/yyyy):
Height:
Weight:
Parent Information
Father's name: Occupation:
Mother's name: Occupation:
High School:
Graduation Year: Class Rank:
Grade point average: ACT score:
High School Coach: Coach Phone Number:
Football Position Offense: Football Position Defense:
Jersey No.
Ethnic Background:
Other African American/Black American Indian/Native American Southeast Asian Asian/Pacific Islander Hispanic/Latino White/Non-Hispanic
First Major Interest:
None Accounting Agriculture - Broad Area Agricultural Business Agricultural Economics Agricultural Education Ag Engineering Technology Agronomy Animal Science Anthropology Art Biology Biotechnology - Ag Emphasis Biotechnology - Liberal Arts Emphasis Business Administration Chemistry - Liberal Arts Chemistry - Biochemistry Emphasis Chemistry - Polymer Emphasis Communicative Disorders Computer Systems - Computer Science Computer Systems - Information Systems Conservation - Natural Resource Mgt Conservation - Environmental Analysis Early Childhood Education Economics Elementary Education English Food Science and Technology Geology Geography Health and Human Performance History Horticulture Journalism - News Editing Journalism - TV and Radio Broadcasting Land Use Planning Marketing Communications Mathematics Modern Language - French Modern Language - German Modern Language - Spanish Music Physics Political Science Pre-Engineering Pre-Law Pre-Medicine Pre-Optometry Pre-Pharmacy Pre-Veterinary Medicine Psychology Science Broad Field Secondary Education 22 content areas Social Studies Broad Field Sociology Social Work Soil Science Speech Communication
Second Major Interest:
Activity Interest
None Computers Debate Drama Forensics Fraternities/Sororities Honors Program International Study Newspaper Orchestra Photography Radio/TV Student Government Theatre
List other sports you participated in:
List post-season awards (captain, all-conference, etc. ):
If you have specific questions or additional requests, please use the box below:
