EDINBORO UNIVERSITY OF PENNSYLVANIA SWIMMING QUESTIONNAIRE
PERSONAL INFORMATION
| Name |
Date |
| Address |
| Phone |
SSN |
Date of Birth |
| E-mail Address |
| Father's Name |
Occupation |
College |
| Mother's Name |
Occupation |
College |
| Sibling Names and Ages |
| Student Friends at Edinboro |
(1) |
(2) |
| Edinboro Alumni You Know |
(1) |
(2) |
SCHOLASTIC INFORMATION
| High School |
Junior College |
| School Address |
| High School Principal |
Guidance Counselor |
| HS Phone |
Date of Graduation |
GPA |
ACT/SAT |
Class Rank |
| Planned Course of Study |
| Scholastic Honors |
| Have you applied to the NCAA Clearinghouse? Yes No (circle one) |
Date of Application |
ATHLETIC INFORMATION
| BEST EVENTS |
Event |
Time |
Date Done |
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| Height |
Weight |
Number of Years Competing |
| Other Sports |
| Athletic Honors (Team and Personnel) |
| HS Coach |
School Phone |
Home Phone |
| Age Group Team |
| Age Group Team Coach |
Home Phone |
| Colleges Interested in Attending |
SEND QUESTIONNAIRE TO: Swim Coach, McComb Fieldhouse, Edinboro University of PA, 219 Meadville Street, Edinboro, PA 16412-9989