Questionnaires

Fields marked with * are mandatory
General
 *
*Please enter valid First Name
*Please enter valid Preferred Name
 *
*Please enter valid Middle Name
 *
*Please enter valid Last Name
 *
*Please enter valid Email Address
*Please enter valid Home Address 1
*Please enter valid Home Address 2
*Please enter valid City
*Please enter valid State
*Please enter valid Zip
*Please enter valid Country
*Please enter valid number
*Please enter valid International Phone Number
 *

*Please enter valid Gender
 *
*Please enter valid Date of Birth
 *
*Please enter valid number
 *
*Please enter valid Instagram Username
Background
*Please enter valid Parent/Guardian 1 Name
*Please enter valid Parent/Guardian 1 Phone Number
*Please enter valid Parent/Guardian 1 Email Address
*Please enter valid Parent/Guardian 2 Name
*Please enter valid Parent/Guardian 2 Phone Number
*Please enter valid Parent/Guardian 2 Email Address
*Please enter valid Sibling(s) / Name(s) and Age(s)
Academic
*Please enter valid High School
*Please enter valid Date of Graduation
*Please enter valid Reason for Gap Year
*Please enter valid School Phone Number
*Please enter valid Class Rank
*Please enter valid number
*Please enter valid SAT EBRW (Evidenced Based Reading-Writing)
*Please enter valid SAT Math
*Please enter valid SAT Total
*Please enter valid ACT
*Please enter valid number
*Please enter valid Academic Honors
*Please enter valid Other College Choices
*Please enter valid Transcripts
*Please enter valid Intended Major
Athletic
*Please enter valid Number of Years Swimming at Club
*Please enter valid USA-S Club
*Please enter valid Club Coach Name
*Please enter valid Club Coach Phone
*Please enter valid Club Coach Email
*Please enter valid High School Coach Name
*Please enter valid High School Coach Phone Number
*Please enter valid High School Coach Email
*Please enter valid Number of Years Participating in HS Swimming





*Please enter valid Stroke(s)
*Please enter valid Height
*Please enter valid Weight (in lbs)
*Please enter valid Recruiting Website
*Please enter valid Video Link
*Please enter valid 50 Freestyle Time
*Please enter valid 50 Freestyle Course
*Please enter valid 100 Freestyle Time
*Please enter valid 100 Freestyle Course
*Please enter valid 200 Freestyle Time
*Please enter valid 200 Freestyle Course
*Please enter valid 500 Freestyle Time
*Please enter valid 500 Freestyle Course
*Please enter valid 1000 Freestyle Time
*Please enter valid 1000 Freestyle Course
*Please enter valid 1650 Freestyle Time
*Please enter valid 1650 Freestyle Course
*Please enter valid 50 Backstroke Time
*Please enter valid 50 Backstroke Course
*Please enter valid 100 Backstroke Time
*Please enter valid 100 Backstroke Course
*Please enter valid 200 Backstroke Time
*Please enter valid 200 Backstroke Course
*Please enter valid 50 Breaststroke Time
*Please enter valid 50 Breaststroke Course
*Please enter valid 100 Breaststroke Time
*Please enter valid 100 Breaststroke Course
*Please enter valid 200 Breaststroke Time
*Please enter valid 200 Breaststroke Course
*Please enter valid 50 Butterfly Time
*Please enter valid 50 Butterfly Course
*Please enter valid 100 Butterfly Time
*Please enter valid 100 Butterfly Course
*Please enter valid 200 Butterfly Time
*Please enter valid 200 Butterfly Course
*Please enter valid 100 Individual Medley Time
*Please enter valid 100 Individual Medley Course
*Please enter valid 200 Individual Medley Time
*Please enter valid 200 Individual Medley Course
*Please enter valid 400 Individual Medley Time
*Please enter valid 400 Individual Medley Course
Personal Contacts
Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.
First
Last
Close