W&J Swimming & Diving Recruiting Questionnaire

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1.	Full Name:*

2.	Parent(s)/Guardian(s) Names:*

3.	Date of Birth:*

4.	Cell Phone Number:*

5.	Email Address:*

6.	Home Address (street, city, state, zip and home phone number):*

7.	High School (name, city and state):* *

8.	High School Graduation Year: *

9.

Academic Information:*
Enter at least 1 response.

Class Rank:
GPA:
Field of Interest:
SAT Math:
SAT Verbal:
SAT Written:
ACT:

10.

Swimming Information

Number of years swimming:
High School Coach:
Club/YMCA Team:
Events:
Top times:

11.

Diving Information

Number of years diving:
High school coach:
Club/YMCA team:
1-meter scores (6 dives):
1-meter scores (11 dives):
3-meter scores (6 dives):
3-meter scores (11 dives):
Optional dives performed:

12.	Academic or Athletic Honors/Awards:

13.

Championships Won (Team or Individual)

Freshman:
Sophomore:
Junior:
Senior:

14.	Other colleges applied to:

15.	Other Sports Played:

16.

College Family Member(s) Attended:

Mother:
Father:
Sister:
Brother:

17.	Friends or relatives who have attended W&J:

18.	Additional Comments or Interests: