DIVING QUESTIONNAIRE

PERSONAL INFORMATION

Name: Phone: Cell:

Home Address (Street,City,State,Zip):

E-mail Address:

Birth Date: Height Weight Age

Father's Name Occupation College

Mother's Name Occupation College

Names of friends or relatives who have attended Colorado State University or who live in Colorado

Best times & days(s) to contact you at home by phone (after school or practice-A.M. or P.M.)
Time Zone

ACADEMIC INFORMATION

High School Phone

School Address (Street,City,State,Zip):

Graduation date/year College Major

Grade Point Average Rank In Class No. in Class Test Scores:ACT Composite

SAT Math SAT Verbal Were test scores sent to Colorado State?Yes No

Have you registered with the NCAA Clearinghouse?
Yes No

ATHLETIC INFORMATION

School Coach: Phone: Email:

Club Team: Club Coach:

Club Coach Phone: Club Coach Email:

Diving Awards, Honors, and Accomplishments

Other Interests and Accomplishments

Other schools you are considering

Diving List:

1M 3M Platform

High Scores:

1M 3M Platform