Womens' Swimming Questionnaire

By completing and submitting this form, you are providing the following information to the Emory & Henry College Swimming office and the E&H Admissions Office.

Personal Information

First Name:
Last Name:
Phone Number:
 Email:
 Address:
 City:
 State:
 Zip:
 Age:
 Date of Birth:
 Height:
 Weight:
 Hometown:
 Father's Full Name:
 Mother's Full Name:

 

High School Information

School Name:

Graduation Date: Class Rank:

Coach's Name: Coach's Phone Number:

Intended College Major:  

GPA: ACT Score: SAT Score:


Club Information

Club Name:

Years Participated:

Coach's Name:

Coach's Email: Coach's Phone Number:


Personal Bests

Event: PR:

Event: PR:

Event: PR:

Event: PR:

Event: PR:

Event: PR:

Awards/Honors:

Have you applied to Emory & Henry?