US Naval Academy Swimming & Diving Questionnaire

"Hello. Thank you for your interest in the men's swimming program at Navy. Your interest is very important to us."

Please fill out the following questionnaire
Click the SAVE button below when you have finished..
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Please be sure to fill out all required fields:
First Name, Last Name, Email, Select School, H.S. Grad Year (e.g. 2013)

"We will follow up promptly with more information about the swimming and diving program. Thank you. Go Navy!"

 

Personal Information
 
Your Name:
First Middle Last
Preferred Name:
Street Address:
City:
State / Zip:
Date of Birth:
Month Day Year
Email Address:
Home Phone:
Cell Phone:
 

Parent's Information
 
Mother's First Name:
Mother's Last Name:
Mother's Job:
Mother's Work #:
Father's First Name:
Father's Last Name:
Father's Job:
Father's Work #:
 

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 From College:
GPA:
PSAT Test Date:
PSAT Math: Verbal:
SAT Test Date:
SAT Math: Verbal:
ACT Test Date:
ACT Math: Verbal:
Class Rank:
Class Size:
 

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

Club Athletic Info
 
Coach's First Name:
Coach's Last Name:
Coach's Office #:
Coach's Home #:
 

Athletic Stats
 
Height:
Weight:
List names of any Midshipmen/alumni you know:
Please list times and days that you train during the school year.
Sun:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
 

Best Events and Times
 
Enter your best times for the events below
(Please do not use single- or double-quotation marks when entering your times)
 
Event Yards (SC) Meters (LC)
50 Free:
100 Free:
200 Free:
500 Free:
1000 Free:
1650 Free:
100 Back:
Enter your best times for the events below
(Please do not use single- or double-quotation marks when entering your times)
 
Event Yards (SC) Meters (LC)
200 Back:
100 Breast:
200 Breast:
100 Fly:
200 Fly:
200 IM:
400 IM:
 

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