FORDHAM UNIVERSITY
SWIMMING & DIVING


PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
GENDER  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME COUNTRY  
HOME PHONE  
CELL PHONE  
EMAIL  
DATE OF BIRTH  
FACEBOOK LINK  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S WORK PHONE  
MOTHER'S CELL  
MOTHER'S ALMA MATER  
MOTHER'S OCCUPATION  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S WORK PHONE  
FATHER'S CELL  
FATHER'S ALMA MATER  
FATHER'S OCCUPATION  
SIBLINGS  
LIST YOUR TOP FOUR UNIVERSITY CHOICES (IN ORDER OF PREFERENCE - INCLUDE FORDHAM IF APPROPRIATE)  
WILL YOU NEED FINANCIAL ASSISTANCE IN ORDER TO BE ABLE TO ATTEND FORDHAM?  
PLEASE LIST ANY RELATIVES WHO CURRENTLY ATTEND OR GRADUATED FROM FORDHAM  
ARE YOU REGISTERED WITH THE ELIGIBILITY CENTER?  
IF YES, WHAT IS YOUR ELIGIBILITY CENTER ID?  

ACADEMIC INFORMATION

HS NAME  

GRADUATION YEAR  
HS ADDRESS  
 
HS CITY  
HS STATE  
ZIP  
HS PHONE  
CLASS RANK  
GRADE POINT AVERAGE  
ACT  
SAT TOTAL  
INTENDED MAJOR  

ATHLETIC INFORMATION

HS COACH'S FIRST NAME  
HS COACH'S LAST NAME  
HS COACH'S EMAIL  
HS COACH'S CELL PHONE  
HS COACH'S WORK PHONE  
EVENTS  
HEIGHT  
WEIGHT  
 
Short Course Yards Short Course Meters Long Course Meters
50 Free
100 Free
200 Free
500/400 Free
1000/800 Free
1650/1500 Free
100 Fly
200 Fly
100 Back
200 Back
100 Breast
200 Breast
200 IM
400 IM

 
6 Dives 11 Dives
1M Diving
3M Diving
Platform Diving
BEST KICKING TIME: 100 FREE W/BOARD  
BEST KICKING TIME: 100 FLY KICK ON BACK  
ATHLETIC HONORS  
OTHER SPORTS PLAYED  
ONLINE VIDEO LINK  
 

CLUB TEAM

CLUB TEAM NAME  
CLUB COACH'S FIRST NAME  
CLUB COACH'S LAST NAME  
CLUB COACH'S EMAIL  
CLUB COACH'S CELL PHONE  
PLEASE CERTIFY THAT YOU ARE A HIGH SCHOOL JUNIOR OR SENIOR, OR ARE A CURRENT COLLEGE STUDENT   Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.