HARVARD
MEN & WOMEN'S WATER POLO

PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
GENDER  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME COUNTRY  
HOME PHONE  
CELL PHONE  
EMAIL  
DATE OF BIRTH  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S CELL  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S CELL  
SIBLINGS  
OTHER SCHOOLS INTERESTED  
WILL YOU BE APPLYING FOR FINANCIAL AID?  
ARE YOU REGISTERED WITH THE ELIGIBILITY CENTER?  
IF YES, WHAT IS YOUR ELIGIBILITY CENTER ID?  

ACADEMIC INFORMATION

HS NAME  

GRADUATION YEAR  
HS PHONE  
CLASS RANK  
GRADE POINT AVERAGE  
ACT  
SAT MATH  
SAT CRITICAL READING  
SAT WRITING  
SAT TOTAL  
SAT II SUBJECT 1  
SAT II SUBJECT 1 SCORE  
SAT II SUBJECT 2  
SAT II SUBJECT 2 SCORE  
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  
POSITION  
DOMINANT HAND  
50 FREE TIME  
100 FREE TIME  
200 FREE TIME  
HEIGHT  
WEIGHT  
CAP NO  
 

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.