Swimming Questionnaire

Full Name*

Address*

City/State/Zip

Email Address*

Cell Phone*

Best Time To Call You

Morning

Afternoon

Evening

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

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