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Swimming Questionnaire

Full Name*
Address*
City/State/Zip
Email Address*Cell Phone*
Best Time To Call You
NCAA Clearinghouse #
Birth Date
Height*
Weight*
Mother's Name
Mother's Occupation
Father's Name
Father's Occupation
High School / Junior College
City/State/Zip
Graduation Year
SAT or ACT Score
GPA
Class Rank
Planned Course of Study
Club Team Name
Club Coach
Club Coach Phone Number
Club Coach Email
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 swimming:
List your athletic honors:
List your best event times in yards & meters and the date that it occurred:
Attach Your Meet Schedule
Attach Your Photo