Swimming and Diving Questionnaire

Address

Last Name:
First Name: Middle Name:
Street Address:
City: State: Zip:
Phone (With Area Code):
E-Mail:
Parent's Names:
USS Information

USS Team:
USS Coach: Telephone Number:
High School Information

High School:
High School Coach: Telephone Number:
Personal Information

Sex:

Class Rank: GPA:

SAT Scores:
ACT Scores:

Height: Weight: Years of Swimming:

Birthdate: Graduation Date:

Academic Interests in College:
Will You Be Signing During the Early Decision Period (November)?
Best Times (Fill Out Boxes of Your Best Events)

Event

Yard Time

Meter Time

50 Free YDS MTRS
100 Free YDS MTRS
200 Free YDS MTRS
500 Free YDS
400 Free MTRS
1000 Free YDS
800 Free MTRS
1650 Free YDS
1500 Free MTRS
100 Fly YDS MTRS
200 Fly YDS MTRS
100 Back YDS MTRS
200 Back YDS MTRS
100 Breast YDS MTRS
200 Breast YDS MTRS
200 IM YDS MTRS
400 IM YDS MTRS
1 Meter Diving
3 Meter Diving
Swimming Achievements:

Other Schools That You Are Interested In Attending:


Back to the University of Missouri Swimming and Diving Homepage

Brian Hoffer
Head Men's & Women's Swimming Coach
University of Missouri-Columbia
Department of Athletics
428A Hearnes Building
Columbia, MO 65211
hofferb@missouri.edu