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UConn Swimming & Diving Recruiting Form

This information will be emailed to the Women's Swimming coaching staff.
Please fill in all required fields which are marked with an asterick.
 *   

Personal Information

 * First Name:
 * Last Name:
 * Street Address:
 * Town:
 * State:
 * Zip:
 * Phone:
Best Time to Call:
Birthday:
Email:
Mother's Name:
Mother's Occupation:
Father's Name:
Father's Occupation:
Brothers/Sisters/Family:
Friends/Family that Attended UConn:

Academic Information

 * High School:
 * Address:
 * City:
 * State:
 * Zip:
Phone:
Guidance Counselor:
 * Graduation Year:
Have you taken the SAT?: Yes No
If no, when?:
SAT Verbal:
SAT Math:
ACT Score:
Date Taken:
TOEFL Score: (International students only)
Date Taken:
GPA/Scale:
Class Rank: out of
Please list any Academic Honors:

Swimming Information

 * Height:
 * Weight:
 * High School Coach:
Home Phone:
USS Club Name:
USS Club Coach:
Club Phone:
Club Address:
Best times electronic timing (No relay splits or stop watch times)
Please indicate yard or meter times (scy - scm - lcm)
Event: Time/Date: Shaved & Tapered: yes no
Event: Time/Date: Shaved & Tapered: yes no
Event: Time/Date: Shaved & Tapered: yes no
Event: Time/Date: Shaved & Tapered: yes no
Event: Time/Date: Shaved & Tapered: yes no
Event: Time/Date: Shaved & Tapered: yes no
Event: Time/Date: Shaved & Tapered: yes no
Event: Time/Date: Shaved & Tapered: yes no
Do you need a UConn Admissions Application? yes no


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