Questionnaires

Fields marked with * are mandatory
General
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*Please enter valid First Name
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*Please enter valid Last Name
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*Please enter valid Gender
*Please enter valid Email Address
*Please enter valid Home Address1
*Please enter valid Home Address2
*Please enter valid City
*Please enter valid State
*Please enter valid Zip
*Please enter valid number
*Please enter valid number
*Please enter valid Date of Birth
*Please enter valid Citizenship (if not US)
*Please enter valid Attach a Picture
Family Information
*Please enter valid Parent(s)/Guardian(s) Name
*Please enter valid Parent(s)/Guardian(s) Phone
*Please enter valid Parent(s)/Guardian(s) Email
Academic
*Please enter valid number
*Please enter valid High School
*Please enter valid Counselor's Name
*Please enter valid Counselor's Phone
*Please enter valid Counselor's Email
*Please enter valid Class Rank
*Please enter valid Out Of
*Please enter valid number
*Please enter valid number
*Please enter valid number
*Please enter valid number
*Please enter valid Academic Honors
*Please enter valid Please list any community service involvement
*Please enter valid Intended Major
*Please enter valid AP Courses
*Please enter valid AP Test Scores
*Please enter valid GPA (Weighted)
*Please enter valid GPA (Unweighted)
*Please enter valid What attracts you to Brandeis?
*Please enter valid Other College Choices (including Brandeis)
*Please enter valid 1.
*Please enter valid 2.
*Please enter valid 3.
*Please enter valid 4.
*Please enter valid 5.
*Please enter valid Have you submitted an application?
*Please enter valid Are you applying Early Decision?
*Please enter valid Will you be applying for Financial Aid?
*Please enter valid Have you completed your CSS/Profile?
*Please enter valid Are you planning a campus visit?
*Please enter valid If Yes, When are you visiting campus?
*Please enter valid Would you like to hear from a Brandeis swimmer?
Athletic
*Please enter valid High School Coach's Name
*Please enter valid High School Coach's Phone Number
*Please enter valid High School Coach's E-mail
*Please enter valid Name of Club/YMCA Team
*Please enter valid Club/YMCA Coach's Name
*Please enter valid Club/YMCA Coach's Phone Number
*Please enter valid Club/YMCA Coach's E-mail
*Please enter valid Please list any injuries that impact training
*Please enter valid Upcoming Meets
*Please enter valid Event 1
*Please enter valid Time/Score 1
*Please enter valid Date 1
*Please enter valid Event 2
*Please enter valid Time/Score 2
*Please enter valid Date 2
*Please enter valid Event 3
*Please enter valid Time/Score 3
*Please enter valid Date 3
*Please enter valid Event 4
*Please enter valid Time/Score 4
*Please enter valid Date 4
*Please enter valid Event 5
*Please enter valid Time/Score 5
*Please enter valid Date 5
*Please enter valid Event 6
*Please enter valid Time/Score 6
*Please enter valid Date 6
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.
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