PENN STATE

Swimming & Diving


Please fill out the following questionnaire
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Please be sure to fill out all required fields:
First Name, Last Name, Select School, H.S. Grad Year (e.g. 2005)

 

Personal Information
 
Swimmer Or Diver?:
Gender?:
Your Name:
First Middle Last
Preferred Name:
Street Address:
City:
State / Zip:
Country:
Hobbies/Interests:
Date of Birth:
Month Day Year
Email Address:
IM Screen Name:
Home Phone:
Cell Phone:
Best Time To Call:
Family/Friends who attended Penn State:
Plan to sign in?:
 

Parent's Information
 
Mother's First Name:
Mother's Last Name:
Mother's Job:
Mother's College:
Father's First Name:
Father's Last Name:
Father's Job:
Father's College:
Siblings (List College If Applicable):
 

Academic Information
 
Please use the SELECT SCHOOL Button to choose your school.
Please use the INTERNATIONAL SCHOOL Button to choose your school if you are outside of the US.
School Type:
School Name:
School Address:
School City:
School State / Zip:
School Country:
School Phone #:
School Fax #:
Counselor's First Name:
Counselor's Last Name:
Counselor's Phone:
Registered for Clearinghouse?:
Academic and Career Goals:
Favorite Class:
What other colleges and universities are you considering? If you have set up a campus visit, please indicate dates.
Have you applied to Penn State For The Coming Year?:
Would You Like An Application?:
Graduation Year: GPA:
SAT Test Date:
SAT Verbal: Math:
ACT Test Date: Score:
TOEFL (if Applicable):
Class Rank:
Academic Interest:
What are your major considerations when
choosing a university?
(Please rank in order of importance)
Academic Match:
Getting Along With Coaches:
Facilities:
Location Of School:
Getting Along With Team:
Quality Of Swimming Program:
Scholarship Money Offered:
Other:
If other: Explain:
 

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

USS/YMCA Info
 
Team:
Coach's First Name:
Coach's Last Name:
Coach's Office #:
Coach's Home #:
Address:
City:
State:
Zip:
Country:
 

Athletic Stats
 
How many years have you competed in Swimming/Diving?:
Intensively?:
With The Club Team?:
Average Mid-Season Daily Yardage:
Do you lift weights?:
If yes, describe program:
Any other comments, information or questions:
Height:
Weight:
Shoe Size:
Please note any titles, results or years qualified for:
State HS Championships:
USS National Championships:
Speedo Jr Championships:
Junior Olympics Experience:
What are your athletic goals?:
Other Sports and Honors Received:
 

Swimming Event/Time Info
 
Distance 1:
Event 1:
Course 1:
Time 1: : .
Date 1:
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Distance 2:
Event 2:
Course 2:
Time 2: : .
Date 2:
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Distance 3:
Event 3:
Course 3:
Time 3: : .
Date 3:
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Distance 4:
Event 4:
Course 4:
Time 4: : .
Date 4:
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Distance 5:
Event 5:
Course 5:
Time 5: : .
Date 5:
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Distance 6:
Event 6:
Course 6:
Time 6: : .
Date 6:
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Distance 7:
Event 7:
Course 7:
Time 7: : .
Date 7:
Distance 8:
Event 8:
Course 8:
Time 8: : .
Date 8:
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Distance 9:
Event 9:
Course 9:
Time 9: : .
Date 9:
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Distance 10:
Event 10:
Course 10:
Time 10: : .
Date 10:
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Distance 11:
Event 11:
Course 11:
Time 11: : .
Date 11:
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Distance 12:
Event 12:
Course 12:
Time 12: : .
Date 12:
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Distance 13:
Event 13:
Course 13:
Time 13: : .
Date 13:
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Distance 14:
Event 14:
Course 14:
Time 14: : .
Date 14:
 

Dives and Scores
 
Optional Dives: 1 Meter:
Dive 1:
Dive 2:
Dive 3:
Dive 4:
Dive 5:
Dive 6:
Optional Dives: 3 Meter:
Dive 1:
Dive 2:
Dive 3:
Dive 4:
Dive 5:
Dive 6:
Optional Dives: Platform:
Dive 1:
Dive 2:
Dive 3:
Dive 4:
Dive 5:
Dive 6:
 

Meet Info
 
Meet 1:
Date(s):
Location:
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Meet 2:
Date(s):
Location:
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Meet 3:
Date(s):
Location:
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Meet 4:
Date(s):
Location:
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Meet 5:
Date(s):
Location:
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Meet 6:
Date(s):
Location:
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Meet 7:
Date(s):
Location:
Meet 8:
Date(s):
Location:
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Meet 9:
Date(s):
Location:
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Meet 10:
Date(s):
Location:
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Meet 11:
Date(s):
Location:
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Meet 12:
Date(s):
Location:
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Meet 13:
Date(s):
Location:
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Meet 14:
Date(s):
Location:
 

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