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Swimming & Diving Questionnaire

Please fill out the ENTIRE questionnaire. Send your tape(s) to: Ohio University, Convocation Center, Swimming and Diving, Athens, OH 45701
Today's Date:SSN:
Full Name (first, middle, last):DOB:
Home Phone:Height:
Cell Phone:Weight:
Address:Age:
City:Sex:Male  Female
State:
ZIP:
Email:
 
High School:GPA:
HS Phone:Class Rank:
HS Address:Students in Class:
HS City:ACT Composite:
HS State:SAT Verbal:
HS ZIP:SAT Math:
Graduation Date:SAT Writing:
 
Parents Names:Other Parent/Guardian:
Address: 
City: 
State: 
ZIP: 
Home Phone: 
Mother's Occupation:Father's Occupation:
Mother's Work Phone:Father's Work Phone:
Mother's College:Father's College:
Live With:
 
HS Coach:Years Swimming/Diving:
HS Coach Work Phone:Avg. Yards/Meters/Practice:
HS Coach Home Phone:Avg. # of Practices/Week:
HS Coach Email:Avg. # of Weightlifting Sessions/Week:
Club Coach:
Club Coach Work Phone:
Club Coach Home Phone:
Club Coach Email:
Club Team:
 
Personal Bests
Event:Event:
Time:Time:
Year:Year:
Course Type:Course Type:
 
Event:Event:
Time:Time:
Year:Year:
Course Type:Course Type:
 
Event:Event:
Time:Time:
Year:Year:
Course Type:Course Type:
 
Event:Event:
Time:Time:
Year:Year:
Course Type:Course Type:
 
1-meter 6 Dives - Score:Year:
1-meter 11 Dives - Score:Year:
3-meter 6 Dives - Score:Year:
3-meter 11 Dives - Score:Year:
Please list your optional dives: 1-meter:3-meter:
 
Championship Peaking For:Best Times to Call:
Other Schools Considering:
(in order of preference)		Personal Hobbies:
Interest in Ohio:Other Comments:
Shoe Size:Do you know anyone who has attended Ohio University?:Yes No
Have you applied to Ohio University?Yes NoHave you been accepted to Ohio University?Yes No
Have you registered with the NCAA Clearinghouse?Yes NoPlanned College Major:
Clearinghouse ID #: 


 
 
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