Jamestown Community College
Questionnaire for High School Seniors

Interested in being a Jayhawk Wrestler?
Fill out this Online Form or send in the form
via snail mail by printing it out and sending it to:

Walt Thurnau
PHED 525 Falconer Street
Jamestown, NY 14702-0020

PERSONAL INFORMATION
Name:
Phone:
Email:
Date of Graduation:
Street Address:
City:
State:    Zip:
Age:    Weight:

Fathers Name:
Occupation:

Mothers Name:
Occupation:

SCHOLASTIC INFORMATION

E-mail:
High School:
High School Phone:
High School Address:
Expected College Major:
GPA: Class Rank: Out of


High School Coach:
Phone:

ATHLETIC INFORMATION

Honors Won: Local, Regional and/or National
Please include academic awards

Season Records:

Freshman Won: Lost:
Sophomore Won: Lost:
Junior Won: Lost:
Senior Won: Lost:



Thank you for your interest in JCC Athletics!