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Diving Questionnaire

Full Name*
Address*
City/State/Zip*
Email Address* Cell or Home Number*
NCAA Clearinghouse #
Birth Date*
Height*
Weight*
Mother's Name
Mother's Occupation
Father's Name
Siblings That Played College Sports
Father's Occupation
High School / Junior College*
City/State/Zip
Graduation Year*
SAT or ACT Score
GPA
Class Rank
Planned Course of Study
Counselor Name
Career Interests
Club Team Name
Club Coach
Club Coach Phone Number
Club Coach Email
HS Coach
HS Coach Phone Number
HS Coach Email
# Practices / Week
# Hours / Practice
How many years have you been diving?
Trampoline Experience
Dry Board Experience
Weightlifting?
Type & Times of Weightlifting Per Week
Drylands?
Type of Drylands?
List Your Hobbies
Do you know anyone in Arkansas or at the University?
Dates of HS Season
List any injuries or conditions that have affected your participation in diving:
List your athletic honors:
Describe yourself as a diver/person
What is most important to you when choosing a school?
What other schools are you considering?
HIGH SCHOOL / PREP SCHOOL Best 6 Dive Score
Best 11 Dive Score
District Score/Place
State Score/Place
USA Diving/AAU Best 1-Meter Score
Best 3-Meter Score
Best Tower Score
List Your 1-Meter List
List Your 3-Meter List
List your tower dives and level for your list
Attach Your Meet Schedule
Attach Your Photo