University at Buffalo Swimming
Recruiting Questionnaire

Please fill out the following questionnaire and click the SAVE button below when you have finished.

*This site uses pop-ups. Please turn off your pop-up blocking software before continuing.

Required Fields: First Name, Last Name, Select School, Graduation Year

 

Personal Information
 
Your Name:
First Middle Last
Preferred Name:
Street Address:
City:
State / Zip:
Hobbies/Interests Outside Activities:
Ambitions:
Gender:
Date of Birth:
Month Day Year
Age:
Email Address:
Home Phone:
Cell Phone:
Best day/time to call:
List any friends/relatives who attend Buffalo:
Why are you interested in University at Buffalo and Swimming?
 

Parent's Information
 
Mother's First Name:
Mother's Last Name:
Mother's Job:
Mother's Work #:
Mother's Home #:
Mother's Adress (If Different):
Mother's City:
Mother's State / Zip:
Father's First Name:
Father's Last Name:
Father's Job:
Father's Work #:
Father's Home #:
Father's Adress (If Different):
Father's City:
Father's State / Zip:
List Brothers/Sisters (Names and Ages)
 

Academic Information
 
Please use the SELECT SCHOOL Button to choose your school.
School Type:
School Name:
School Address:
School City:
School State / Zip:
School Phone #:
School Fax #:
Graduation Year: GPA:
SAT Test Date:
SAT M: V:
ACT Test Date: Score:
TOEFL (Foreign Students): Score:
Class Rank:
Intended Field of Study:
Counselor's First Name:
Counselor's Last Name:
Counselor's Phone:
 

HS/JC Athletic Info
 
Coach's First Name:
Coach's Last Name:
Coach's Office #:
Coach's Home #:
Coach's Cell #:
 

US/Y Athletic Info
 
Current US/Y Team:
Coach's First Name:
Coach's Last Name:
Coach's Office #:
Coach's Home #:
Coach's Home Address:
Coach's City:
Coach's State:
Coach's Zip:
 

Athletic Stats
 
How much training do you do?
Number of practices per week:
Amount of yardage/meters per week:
Weights?
What other schools are you considering?
Date you hope to decide on which University to attend:
Height:
Weight:
Number of years trained competitively:
Number of years trained year round:
If you have suffered any serious injuries or have had any operations, please list details:
Any other information you would like to share?
 

Best Times
 
List Best Times (Designate Relay splits with "R:):
Event 1:
Freshman Time:
Sophomore Time:
Junior Time:
Senior Time:
--------------- ---------------------------------------
Event 2:
Freshman Time:
Sophomore Time:
Junior Time:
Senior Time:
List Best Times (Designate Relay splits with "R:):
Event 3:
Freshman Time:
Sophomore Time:
Junior Time:
Senior Time:
--------------- ---------------------------------------
Event 4:
Freshman Time:
Sophomore Time:
Junior Time:
Senior Time:
 

When you have completed this questionnaire please click the save button.