Personal Information Name: Prefer to be called: E-mail Address: Address: City: State: Zip code: Phone: DOB: Age: SSN: Height: Weight: Mother's Name: Occupation: Father's Name: Occupation: Academic Information High School: Graduation Date: School Address: City: State: Zip code: School Phone: Guidance Counselor: SAT Score:V M W SAT Test Date: ACT Score: ACT Test Date: GPA: Class Rank: Potential Major: Athletic Information US Swimming, US Diving, or AAU team: Coach's Name: Coach's Phone Number: Coach's E-mail: Address: City: State: Zip Code: High School Coach: High School Coach's Phone Number High School Coach's E-mail: Have you registered with NCAA Clearinghouse?:Yes. No. NCAA # List of Best Scores and Dives 1-meter Optional Dives [Ex. 105B] : Dives: 6 Dive Score:Scores: Date: 11 Dive Score (if number of dives is different, note after):Scores: Date: 3-meter Optional Dives [Ex. 105B] : Dives: 6 Dive Score:Scores: Date: 11 Dive Score (if number of dives is different, note after): Scores: Date: List of Times ScoreDate 50 Free: 100 Free: 200 Free: 400/500 Free: 800/1000 Free: 1500/1650 Free: 200 IM: 100 Back: 200 Back: 100 Breast: 200 Breast: 100 Fly: 200 Fly: 400 IM: Do you know anyone else attending ODU?: What are the top three Universities you are interested in?: What sparked your interest in ODU?:
