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Women's Swimming & Diving Prospective Student-Athlete Form
Courtesy: Arizona Athletics
Release: 06/22/2004
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PERSONAL INFORMATION

Today's Date

Full Name

Address

City

State

Zip

Home Phone

Fax Number

Email Address

Social Security Number

Height

Weight

Left/Right-handed

Age

Birthdate

Place of Birth

Father's Name

Father's Occupation

Business Phone

Father's Alma Mater

Mother's Name

Mother's Occupation

Business Phone

Mother's Alma Mater


ACADEMIC INFORMATION

Mo/Yr you plan to enter school

School Currently Attending

Expected Graduation Date

School Address

City

State

Zip

Guidance Counselor

Counselor Phone

SAT Total

ACT Score

GPA

Academic Honors



Anticipated College Major

Anticipated College Minor


ATHLETIC INFORMATION

Club Team

Positions Played

Club Coach

Coach's Phone

School Coach

Coach's Phone

Athletic Honors



Team Honors



Your Interest in Arizona

Are videotapes available?

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