Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Preferred Name
*Please enter valid Preferred Name
Email Address *
*Please enter valid Email Address
Email Address #2
*Please enter valid Email Address #2
Home Address1 *
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City *
*Please enter valid City
State
*Please enter valid State
Zip Code/Postal Code *
*Please enter valid Zip Code/Postal Code
Country *
*Please enter valid Country
Contact Number *
*Please enter valid Contact Number
Cell Phone Number
*Please enter valid Cell Phone Number
Please enter 10 or fewer digits
*Please enter valid Please enter 10 or fewer digits
Preferred Number to Call

*Please enter valid Preferred Number to Call
Graduation Year *
*Please enter valid Graduation Year
Race/Ethnicity
*Please enter valid Race/Ethnicity
Twitter Username
*Please enter valid Twitter Username
Facebook Link
*Please enter valid Facebook Link
LinkedIn URL
*Please enter valid LinkedIn URL
First Generation College Student

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Ethnicity
*Please enter valid Ethnicity
Are you a permanent resident of the U. S. A.? *

*Please enter valid Are you a permanent resident of the U. S. A.?
Background

Parent/Guardian's Name (1)
*Please enter valid Parent/Guardian's Name (1)
Parent/Guardian's Phone Number (1)
*Please enter valid Parent/Guardian's Phone Number (1)
Parent/Guardian's Alma Mater (1)
*Please enter valid Parent/Guardian's Alma Mater (1)
Guardian Occupation (1)
*Please enter valid Guardian Occupation (1)
Guardian Email (1)
*Please enter valid Guardian Email (1)
Guardian Address (1)
*Please enter valid Guardian Address (1)
Parent/Guardian's Name (2)
*Please enter valid Parent/Guardian's Name (2)
Parent/Guardian's Phone Number (2)
*Please enter valid Parent/Guardian's Phone Number (2)
Parent/Guardian's Alma Mater (2)
*Please enter valid Parent/Guardian's Alma Mater (2)
Guardian Occupation (2)
*Please enter valid Guardian Occupation (2)
Guardian Email (2)
*Please enter valid Guardian Email (2)
Guardian Address (2)
*Please enter valid Guardian Address (2)
Date of Birth *
*Please enter valid Date of Birth
Source
*Please enter valid Source
Have you visited Grinnell’s campus?

*Please enter valid Have you visited Grinnell’s campus?
If Yes, Date
*Please enter valid If Yes, Date
Academic

High School (required) *
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School (required)
School Phone Number
*Please enter valid School Phone Number
Class Rank
*Please enter valid Class Rank
GPA *
*Please enter valid GPA
SAT Math
*Please enter valid SAT Math
SAT Verbal
*Please enter valid SAT Verbal
SAT Writing
*Please enter valid SAT Writing
SAT Total
*Please enter valid SAT Total
ACT
*Please enter valid ACT
Honors Courses Taken
*Please enter valid Honors Courses Taken
IB Courses Taken
*Please enter valid IB Courses Taken
AP Courses Taken
*Please enter valid AP Courses Taken
Academic Honors
*Please enter valid Academic Honors
Academic Honors cont'd
*Please enter valid Academic Honors cont'd
Intended major or academic interest
*Please enter valid Intended major or academic interest
Transfer

*Please enter valid Transfer
Institution Transferred From
*Please enter valid Institution Transferred From
Other College Choice 1
*Please enter valid Other College Choice 1
Other College Choice 2
*Please enter valid Other College Choice 2
Other College Choice 3
*Please enter valid Other College Choice 3
Other College Choice 4
*Please enter valid Other College Choice 4
Other College Choice 5
*Please enter valid Other College Choice 5
Athletic

Athletic Resume/Bio
*Please enter valid Athletic Resume/Bio
Events

















*Please enter valid Events
Times
*Please enter valid Times
50 Free
*Please enter valid 50 Free
100 Free
*Please enter valid 100 Free
200 Free
*Please enter valid 200 Free
500 Free
*Please enter valid 500 Free
1000 Free
*Please enter valid 1000 Free
1650 Free
*Please enter valid 1650 Free
100 Back
*Please enter valid 100 Back
200 Back
*Please enter valid 200 Back
100 Breast
*Please enter valid 100 Breast
200 Breast
*Please enter valid 200 Breast
100 Fly
*Please enter valid 100 Fly
200 Fly
*Please enter valid 200 Fly
200 IM
*Please enter valid 200 IM
400 IM
*Please enter valid 400 IM
Scores
*Please enter valid Scores
1 Meter Diving 6
*Please enter valid 1 Meter Diving 6
1 Meter Diving 11
*Please enter valid 1 Meter Diving 11
3 Meter Diving 6
*Please enter valid 3 Meter Diving 6
3 Meter Diving 11
*Please enter valid 3 Meter Diving 11
Other Information
*Please enter valid Other Information
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Athletic Awards/Honors/Ranking received
*Please enter valid Athletic Awards/Honors/Ranking received
Athletic Awards/Honors/Ranking received cont'd
*Please enter valid Athletic Awards/Honors/Ranking received cont'd
H.S. Coach name
*Please enter valid H.S. Coach name
H.S. Coach phone
*Please enter valid H.S. Coach phone
H.S. Coach email
*Please enter valid H.S. Coach email
Club Coach name
*Please enter valid Club Coach name
Club Coach phone
*Please enter valid Club Coach phone
Club Coach email
*Please enter valid Club Coach email
Club website
*Please enter valid Club website