Women's Swimming Questionnaire

* Indicate Optional Fields

PERSONAL
Full Name:	Preferred Name:	Date of Birth:
Home Address:		Home Phone:
E-mail Address:		Cell Phone:
Parent/Guardian's Name:	*Occupation:	Phone:
*College Attended:	*Played Sport/s:
*Parent/Guardian's Name:	*Occupation:	*Phone:
*College Attended:	*Played Sport/s:
*Siblings (Name, Age):		*Swimmers (Y/N):
ACADEMICS
School:		Current Year:
Address:
School Phone:	Advisor/Counselor:	Phone:
G.P.A:		Graduation Date:
*Class Rank #:		*Out Of:
*SAT Score: Verbal		*SAT Score: Math
*SAT Total Score:		*Date Taken:
*ACT Score: Composite Score		*Date Taken:
Are you registered with the NCAA Eligibility Center?:		NCAA ID#:
Intended Course of Study:
ATHLETICS
Height:	Weight:	Club Team/High School:
Coach's Name:		Coach's Phone:
Event/Date:	Best Time (SC):	Best Time (LC):
*Event/Date:	*Best Time (SC):	*Best Time (LC):
*Event/Date:	*Best Time (SC):	*Best Time (LC):
*Event/Date:	*Best Time (SC):	*Best Time (LC):
*Event/Date:	*Best Time (SC):	*Best Time (LC):
*Event/Date:	*Best Time (SC):	*Best Time (LC):
*Athletic Honors: