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Recruit Questionnaire (Reason Form)

* = required field

Contact Information
Name:*
Address:*
City:*
State:*
Zip Code:*
Home Phone Number:*
Cell Phone Number:
Email Address:
Date of Birth (mm/dd/yy):
Family Information
Father:
Father's Occupation:
Mother:
Mother's Occupation:
Academic Information
High School Attended:*
City:*
State:*
Guidance Counselor:
Counselor's Phone Number:
Graduation Year:*
GPA:*
Class Rank:
ACT:
SAT Verbal:
SAT Math:
SAT Writing:
Potential College Major(s):
Athletic Information
High School Coach:
H.S. Coach's Phone Number:
Date of high school state meet (mm/dd/yy):
USA Swimming/USA Diving Club:
Club Coach:
Club Coach's Phone Number:
How long have you been swimming/diving competitively?
Swimmng/Diving Performances
List your best swimming events (include type of event, time, and date):
Diving Events (include score and date)
1 Meter, 6 Dives:
3 Meters, 6 Dives:
1 Meter, 11 Dives:
3 Meters, 11 Dives:
List any outstanding athletic honors (school, state, national):
Other varsity sports you have participated in:
General Information
Other schools you are considering (in order of preference):
Please send me an application to Carleton College and information on:
Will you need financial assistance in order to attend Carleton?*
Do you have a friend or relative who has attended Carleton?*
If yes, please name: