Prospect Questionnaire

SWIMMING AND DIVING QUESTIONNAIRE

Personal Data

Please choose sport:

Swimming Diving

Date:

E-mail Address:

First Name:

Last Name:

Preferred Name:

Permanent Address:

City:

State:

Zip:

Phone Number:

Current Mailing Address (if different):

City:

State:

Zip:

Phone Number (if different):

Date of Birth:

Place of Birth:

Father's Name:

Father's Occupation:

Mother's Name:

Mother's Occupation:

Decsribe Yourself (Optional):

Other:

Siblings (age):

Sewanee Students or Graduates You Know:

Relatives Who Attended Sewanee:

Academic Information

High School :

Public/Private:

Year of Graduation:

Address:

City:

State:

Zip:

Phone Number:

College Advisor:

G.P.A.:

Class Rank:

Class Size:

ACT-Date #1

Composite:

ACT-Date #2

Composite:

SAT-Date #1:

Verbal:

Math:

Writing:

SAT-Date #2:

Verbal:

Math:

Writing:

Academic Interests:

Possible Career Plans:

Top 3 Colleges:

Have you visited Sewanee?

If no, would you like to visit in the future?

Will you apply for financial aid?

Athletic Information

High School Coach:

Telephone:

Club Team:

Club Coach:

Telephone:

Your Height:

Your Weight:

Years on Varsity:

SWIMMING:

50 yd. FREE Time:

Year:

100 yd. FREE Time:

Year:

200 yd. FREE Time:

Year:

500 yd. FREE Time:

Year:

1000 yd. FREE Time:

Year:

1650 yd. FREE Time:

Year:

100 yd. BREAST Time:

Year:

200 yd. BREAST Time:

Year:

100 yd. BACK Time:

Year:

200 yd. BACK Time:

Year:

100 yd. FLY Time:

Year:

200 yd. FLY Time:

Year:

200 yd. IM Time:

Year:

400 yd. IM Time:

Year:

DIVING:

1M-6 Dives:

1M-11 Dives:

3M-6 Dives:

3M-11 Dives:

Athletic Honors:

Other Sports Played: