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Arizona Athletics Recruiting Questionnaire

Swimming & Diving

* - Required
N/A - If not applicable

Your General Information

*First Name:

Middle Name:

*Last Name:

*Email Address:

*Birthdate:

*Address:

*City:

*State or Country:

*Zip Code:

*Home Phone:

*Cell Phone:

*Height:

*Weight:

*Father's Name:

*Occupation:

*Alma Mater:


*Work Phone/Email:

*Cell Phone:

*Mother's Name:

*Occupation:

*Alma Mater:


*Work Phone/Email:

*Cell Phone:

High School Information

*High School:

*Graduation Date:

*Address:

*City:

*State or Country:

*Zip Code:

*Phone Number:

*NCAA ID Number:

*GPA:

*SAT Verbal Score:

*SAT Math Score:

*SAT Writing Score:

*ACT Composition/Average:

*Planned Major:

Athletic Information

*High School Coach:

*Phone Number/Email:

*Cell Phone Number:

*Club Team:

*Club Coach:

*Phone Number/Email:

*Cell Phone Number:

*Please list your primary event (s):

*Please list your athletic accomplishments (personal bests, rankings, awards, etc):

Other Information

*Do you know anyone currently attending Arizona? Who?

*Why are you interested in Arizona?

*List the top three universities of your choice (in order of preference - include Arizona if appropriate)

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