Swimming and Diving Recruit Questionnaire
Email
Secondary Email
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ZIP Code *
Email address *
Cell Phone Number *
Address 2
City *
Address 1 *
Last name *
State *
First name *
Year of Graduation
Date of Birth
High School
Coach
Coach's Home Phone
Name of Swim Club
Club Coach
Club Coach Contact Phone
Height
Weight
Rank in Class
PSAT Score
SAT(M)
SAT(V)
High School GPA
Desired College Major
Top College Choices:
Best Times in Yards
Freestyle
50
100
200
500
1000
1650
Backstroke
50
100
200
Breaststroke
50
100
200
Butterfly
50
100
200
IM
50
100
200
Best Diving Score
1 Meter (6 dives)
1 Meter (11 dives)
3 Meter (6 dives)
3 Meter (11 dives)
Have you applied to Behrend?
Have you applied to Behrend?
Yes
No
Do you plan to apply?
Do you plan to apply?
Yes
No
Are you a transfer?
Are you a transfer?
Yes
No
Additional Information
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* required field