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Men's Swimming & Diving Recruiting
Men's Swimming & Diving Recruiting

Required Fields in Bold
Email Address:
 
First Name:
 
Last Name:
 
Address Line 1:
 
Address Line 2:
 
City:
 
 
State/Province:
 
Zip:
 
Country:
 
Phone:
 
Cell Phone:
 
Birthdate (mm/dd/yy):
 
Gender:
 
Male
Female
Father's Name:
 
Father's Occupation:
 
Father's Alma Mater:
 
Father's Email:
 
Father's Work Phone:
 
Mother's Name:
 
Mother's Occupation:
 
Mother's Alma Mater:
 
Mother's Email:
 
Mother's Work Phone:
 
 
Academic Information
Academic Status:
 
Current School:
 
Address:
 
City:
 
State/Province:
 
Zip:
 
Country:
 
Phone:
 
Graduation Date (mm/dd/yyyy):
 
Counselor Name:
 
Registered with NCAA Clearinghouse:
 
Yes
No
If Yes, what is your NCAA Clearinghouse ID
 
Have you taken the SAT:
 
Yes
No
SAT Date (mm/dd/yyyy):
 
SAT Verbal:
 
SAT Math:
 
Have you taken the PSAT:
 
Yes
No
PSAT Date (mm/dd/yyyy):
 
PSAT Verbal:
 
PSAT Math:
 
Have you taken the ACT:
 
Yes
No
ACT Date (mm/dd/yyyy):
 
ACT Score:
 
Current Overall GPA:
 
Class Rank:
 
Intended Major:
 
List academic honors achieved:
 
List last semester's courses and grades received:
 
List any hobbies/interests:
 
 
Athletic Information:
Height (ft/in):
 
Weight (lb):
 
Please list your primary sport as 'Sport #1' and so on.
Sport #1:
 
Primary Event:
 
Coach:
 
Phone:
 
Email:
 
Team and individual honors/achievements:
 
Individual top times, marks, scores or stats:
 
What is your next big taper meet?
 
Athletic goals for the next four years:
 
Three most recent camps, if any, you have attended:
 
Have you sent a videotape of yourself at a meet or practicing:
 
Yes
No
Have you sent us your competition schedule:
 
Yes
No
Have you suffered any serious injuries:
 
Yes
No
If so, please explain:
 
List all club teams you have competed for followed by the coach's name and phone number:
 

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