Football Program Interest Form

Student Information

First Name*

Last Name*

Birthdate*

Email Address*

Mobile Number

Would you like to opt-in to receiving text messages from WBU?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Name of the Church you attend*

Athletic Information

Sports Interest

Football

Which Wayland Football coach have you been in contact with?

Football Positions

Height

Weight

HUDL Link

Twitter

Interest Level for attending Wayland

Last Resort

Considering

Top Choice

Interest Level for attending Wayland

College Academic Interests

Student Type*

Entry Year of Interest*

Academic Interest*

High School / College Details

School Name*

Grad Year

ACT Score*

SAT Score*

Class Rank

GPA on a 4.0 scale*

Head Coach or Recruiting Coordinator Details

Head Coach or Recruiting Coordinator Name

Head Coach or Recruiting Coordinator Number