Colorado State University

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

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


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