Fields marked with * are mandatory
General

Today's Date
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First Name *
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Last Name *
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Gender

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Date of Birth
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Email Address
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Home Address1
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Home Address2
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City
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State
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Zip
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Home Phone Number
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Cell Phone Number
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Best Day/Days to Call
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Best Time/Times to Call
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Background

Mother's Name
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Mother's Phone Number
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Mother's Email Address
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Father's Name
*Please enter valid Father's Name
Father's Phone Number
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Father's Email Address
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Sibling(s) Name(s) / Age(s)
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List Friends / Relatives who've attended Rider?
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Academic

Graduation Year
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High School / College
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School / College
College/Guidance Counselor's Name
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College/Guidance Counselor's Phone
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College/Guidance Counselor's Email
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Class Rank
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GPA
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SAT Math
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SAT Critical Reading
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SAT Writing
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SAT Total
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Composite ACT Score
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Transcripts
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Intended Major
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Career Interest
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Do you Plan to File (FAFSA) for Finanical Aid

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Other College Choices
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Athletic

NCAA Eligibility Center ID #
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Height
FeetInch
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Weight
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Position

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I Consider my Primary Events to be
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Events That Have Improved Most Dramatically in HS
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Swimmers - Enter Best Times
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50 Freestyle (scy)
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50 Freestyle (lcm)
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100 Freestyle (scy)
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100 Freestyle (lcm)
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200 Freestyle (scy)
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200 Freestyle (lcm)
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500 Freestyle (scy)
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400 Freestyle (lcm)
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1000 Freestyle (scy)
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800 Freestyle (lcm)
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1650 Freestyle (scy)
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1500 Freestyle (lcm)
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200 Individual Medley (scy)
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200 Individual Medley (lcm)
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400 Individual Medley (scy)
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400 Individual Medley (lcm)
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50 Backstroke (scy)
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50 Backstroke (lcm)
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100 Backstroke (scy)
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100 Backstroke (lcm)
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200 Backstroke (scy)
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200 Backstroke (lcm)
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50 Breaststroke (scy)
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50 Breaststroke (lcm)
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100 Breaststroke (scy)
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100 Breaststroke (lcm)
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200 Breaststroke (scy)
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200 Breaststroke (lcm)
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50 Butterfly (scy)
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50 Butterfly (lcm)
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100 Butterfly (scy)
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100 Butterfly (lcm)
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200 Butterfly (scy)
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200 Butterfly (lcm)
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Divers - Enter List and Scores
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1 Meter Dive Score (6/11)
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1 Meter List
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3 Meter Dive Score (6/11)
*Please enter valid 3 Meter Dive Score (6/11)
3 Meter List
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Recruiting Website
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Youtube Link
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USAS Club/YMCA Name
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Number of Years with Current Club
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Number of Years Trained Year Round
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USAS Club/YMCA Coach Name
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USAS Club/YMCA Coach's Phone Number
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USAS Club/YMCA Coach's Email
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High School Coach's Name
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High School Coach's Phone
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High School Coach's Email
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Goals for Upcoming Season
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Championship Meets (Date/Location)
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Goals for College Career
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Serious Injuries in Swimming/Describe Recovery
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Other Sports Played
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Events/Positions in Other Sports
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Honors Achieved in Other Sports
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