Susquehanna Women's Swimming & Diving Recruit Questionnaire
Contact Information
*Full Name:
*Street Address:
*City/Town: *State:
*Zip Code:
*Home Phone Number: Cell Phone Number:
*E-mail Address:
Education-Related Information
High School:
City/Town: State:
Graduation Month, Year:
GPA: Class Rank:
Verbal SAT Score: Math SAT Score:
ACT Score:
Status (HS Sr., HS Jr., HS So., Transfer):
Tentative Area of Study (Accounting, Biology, Chemistry, etc.):
Other College(s) Considering:
Academic Honors:
Athletic Information
Best Times in Short-course Yards
50 freestyle: 100 free:
200 free: 500 free:
1,000 free: 1,650 free:
100 backstroke: 200 back:
100 breaststroke: 200 breast:
100 butterfly: 200 fly:
200 individual medley: 400 IM:
Best Times in Short-course Meters50 free: 100 free: 200 free: 500 free: 1,000 free: 1,650 free: 100 back: 200 back: 100 breast: 200 breast: 100 fly: 200 fly: 200 individual medley: 400 IM: Best Times in Long-course Meters50 free: 100 free: 200 free: 500 free: 1,000 free: 1,650 free: 100 back: 200 back: 100 breast: 200 breast: 100 fly: 200 fly: 200 individual medley: 400 IM:
Diving Marks
Dive Type/Set: Score:
Other
Athletic Honors:
Number of Years Competing:
Primary Event:
Secondary Event(s):
Height: Weight:
High School Coach's Name:
High School Coach's Phone Number:
High School Coach's E-mail Address:
Club Team:
Club Team Coach's Name:
Club Team Coach's Phone Number:
Club Team Coach's E-mail Address:
Other Information
Parent(s)' Status (Married, Divorced, Other):
Father's Name: Occupation:
Mother's Name: Occupation:
Do you currently have a sibling enrolled in college?:
If yes, which school?:
Will you be applying for need-based financial aid?:
Do you know anyone who is enrolled at Susquehanna or has attended Susquehanna?:
If so, list name(s):
* = required
