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

Last Resort

Considering

Top Choice

Interest Level for attending Wayland

College Academic Interests

Student Type*

Freshman

Transfer

Campus Location

Plainview, TX

Entry Year of Interest*

Academic Interest*

Interested in the Honors Program?

Yes

No

High School / College Details

High School Name

High School Graduation Year

Class Rank

Class Size

GPA on a 4.0 scale*

College Name

Test Score Details

ACT Score*

SAT Score*

Head Coach or Recruiting Coordinator Details

Head Coach or Recruiting Coordinator Name

Head Coach or Recruiting Coordinator Number

Football Program Interest Form

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