Fields marked with * are mandatory
General

Formal First Name *
*Please enter valid Formal First Name
Preferred Name *
*Please enter valid Preferred Name
Middle Name
*Please enter valid Middle Name
Last Name *
*Please enter valid Last Name
Email Address *
*Please enter valid Email Address
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 *
*Please enter valid Zip
Country
*Please enter valid Country
Citizenship
*Please enter valid Citizenship
Are you an International Student?

*Please enter valid Are you an International Student?
Cell Phone Number
*Please enter valid Cell Phone Number
Home Phone Number *
*Please enter valid Home Phone Number
Graduation Year *
*Please enter valid Graduation Year
Date of Birth *
*Please enter valid Date of Birth
Gender *

*Please enter valid Gender
Preferred method of contact



*Please enter valid Preferred method of contact
Parent(s) Last Name
*Please enter valid Parent(s) Last Name
Parent(s) First Name(s)
*Please enter valid Parent(s) First Name(s)
Parents Email
*Please enter valid Parents Email
Athletic

Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
HS Coach
*Please enter valid HS Coach
HS Coach Contact Number
*Please enter valid HS Coach Contact Number
Club Team Name
*Please enter valid Club Team Name
Club Coach
*Please enter valid Club Coach
Club Coach Contact Number
*Please enter valid Club Coach Contact Number
Freestyle Times (50, 100, 200 Y/M)
*Please enter valid Freestyle Times (50, 100, 200 Y/M)
Distance Times (400/500, 1000, 1500/1650 Y/M)
*Please enter valid Distance Times (400/500, 1000, 1500/1650 Y/M)
Butterfly Times (100, 200 Y/M)
*Please enter valid Butterfly Times (100, 200 Y/M)
Backstroke Times (100, 200 Y/M)
*Please enter valid Backstroke Times (100, 200 Y/M)
Breaststroke Times (100, 200 Y/M)
*Please enter valid Breaststroke Times (100, 200 Y/M)
Individual Medley (200, 400 Y/M)
*Please enter valid Individual Medley (200, 400 Y/M)
Dives (1 Meter)
*Please enter valid Dives (1 Meter)
Dives (3 Meter)
*Please enter valid Dives (3 Meter)
Recruit Video Link
*Please enter valid Recruit Video Link
Academic

High School
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School
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 Total
*Please enter valid SAT Total
ACT
*Please enter valid ACT
Academic Honors
*Please enter valid Academic Honors
Will you apply for financial Aid?
*Please enter valid Will you apply for financial Aid?
Admissions Notification Date
*Please enter valid Admissions Notification Date
Community Service or Activities
*Please enter valid Community Service or Activities
AP Classes






*Please enter valid AP Classes
If Other AP Class, What?
*Please enter valid If Other AP Class, What?
Transcript
*Please enter valid Transcript
Student Type

*Please enter valid Student Type
Academic Interest 1
*Please enter valid Academic Interest 1
Academic Interest 2
*Please enter valid Academic Interest 2
Academic Interest 3
*Please enter valid Academic Interest 3
Other College Attending
*Please enter valid Other College Attending
Top College Choice 1
*Please enter valid Top College Choice 1
Top College Choice 2
*Please enter valid Top College Choice 2
Top College Choice 3
*Please enter valid Top College Choice 3