Please take a moment to answer a few questions about yourself. Required Fields in Bold.

Personal Information

Name

Birth Date

Home Address

City

State

Zip

Home Phone (with area code)

Cell Phone (with area code)

Email Address

Father's/Guardian's Name

Father's/Guardian's Occupation

Mother's/Guardian's Name

Mother's/Guardian's Occupation

Siblings Names and Ages

Previous School Information

High School

High School Address

High Coach's Name

High Coach's Phone Number

Junior College/4-Year Institution

Junior College/4-Year Institution Address

JC/4-Year Coach's Name

JC/4-Year Coach's Phone Number

Eduational Information

Graduation Date

Grade Point Average

Intended College Major

PSAT

SAT

ACT

Swimming Athletic Information

Height

Weight

Name of your USS Team

Coach's Name

Coach's Phone Number

Coach's Email

Name of your HS Team

Coach's Name

Coach's Phone Number

Coach's Email

Number of years you have trained competitively

How many practices a week do you attend?

How many yards do you swim (avg) in practice?

How many yards do you swim (avg) a day?

How many yards do you swim (avg) in a week?

How you ever had any serious injury that kept you out of the water?

If yes, please describe:

What events do you compete in (50 FR, 100 FR, 200 IM)? Also, please list your best times:

Other Information...

Do you know any athletes who are attending or have attended OSU?

If you do not live in Oregon, have you ever visited Oregon? When...Why...Where?

Please list any other universities you are considering:

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