Personal Information Prospect Code: First Name: * Last Name: * Middle Name: Swim/Dive: * Swim Dive Address: * Email: * City: * Preferred Name: State: AL AK AR AS AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB AE BC DC MB NB NL NS NT NU ON PE QC SK UN YT PR VI Date of Birth: * Country: Place of Birth: Zip: Phone: * Gender: M F Mobile/Alt. Phone: Hobbies: Twitter: Best Time to Call You: Morning Afternoon Evening Facebook: Do you know anyone currently at the Univeristy?: Instagram: Skype ID:   Parent/Guardian Contact Information First Name: * Last Name: * Relationship: * Father Mother Alternate Step Mother Neighbor Uncle Sister Grandfather Guardian Aunt Friend Step Father Brother Grandmother Coach Other Spouse Parent Girlfriend Boyfriend Child Guidance Counselor Wife Cousin Husband Club Director Step Sister Step Brother Athletic Director Phone: * Mobile Phone: Email: College Name: Occupation: Employer: Work Phone: Ext:   Parent/Guardian Contact Information First Name: * Last Name: * Relationship: * Father Mother Alternate Step Mother Neighbor Uncle Sister Grandfather Guardian Aunt Friend Step Father Brother Grandmother Coach Other Spouse Parent Girlfriend Boyfriend Child Guidance Counselor Wife Cousin Husband Club Director Step Sister Step Brother Athletic Director Phone: * Mobile Phone: Email: College Name: Occupation: Employer: Work Phone: Ext:   Athletic Information Height: * ft.in. Weight:   Swimming Information Best Event Time: :: Stroke: Free Back Breast Fly IM Distance: 50 100 200 400/500 800/1000 1500/1650 400 500 800 1000 1500 1600 1650 Course: SCM SCY LCM 2nd Best Event Time: :: Stroke 2: Free Back Breast Fly IM Distance 2: 50 100 200 400/500 800/1000 1500/1650 400 500 800 1000 1500 1600 1650 Course 2: SCM SCY LCM 3rd Best Event Time: :: Stroke 3: Free Back Breast Fly IM Distance 3: 50 100 200 400/500 800/1000 1500/1650 400 500 800 1000 1500 1600 1650 Course 3: SCM SCY LCM Athletic Injuries:   Diving Information Top 1-meter score: List 1-meter Optional Dives: Top 3-meter score: List 3-meter Optional Dives: Top Platform Score: List Platform Dives: Dives working to perform: Athletic Injuries:   Academic Information SAT: SAT Math: SAT Verbal: ACT: Class: * High School 2-Year College 4-Year College Post-High School, Non-College GPA: * TOEFL: Class Rank: Grad Year: * 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 1st College Preference: NCAA Clearinghouse Number: * 2nd College Preference: Intended Major: 3rd College Preference:   School Information School Name: * Clear School Address 1: School City: * School State: AL AK AR AS AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB AE BC DC MB NB NL NS NT NU ON PE QC SK UN YT PR VI School Country: School Zip: Phone:   School Coach Information Your Coach: Select your head coach My coach isn't in this list, I'll provide the information below First Name: *   Last Name: *   Email: Title: *   Work Phone: Mobile Phone: Dates of High School Season:   Club Team Coach Information Your Coach: Select your head coach My coach isn't in this list, I'll provide the information below First Name: *   Last Name: *   Club Team Name: * Clear Title: Email: *   Mobile Phone: Work Phone: *