Swimming and Diving

Please fill out the questionnaire if you are interested in participating in the swimming and diving program at Old Dominion University

Required Fields are in Bold

Name
 
Preferred Name
 
Email Address
 
Address
 
City
 
State
 
Zip Code
 
Phone Numer
 
Date of Birth
 
Height
 
Weight
 
Age
 
Mother's Name
 
Mother's Occupation
 
Father's Name
 
Father's Occupation
 
High School
 
Graduation Date
 
School Address
 
City
 
State
 
Zip Code
 
School Phone Number
 
Guidance Counselor
 
SAT Score
 
SAT Test Date
 
ACT Score
 
ACT Test Date
 
GPA
 
Class Rank
 
Potential Major
 
US Swimming, US Diving or AAU Team
Coach's Name
 
Coach's Phone Number
 
Coach's Email
 
High School Coach
 
High School Coach's Phone Number
 
High School Coach's Email
 
Have you registered with the NCAA Clearinghouse
 
List of Best Scores and Dives
1-meter Optional Dives
 
6 Dive Score
 
3-meter Optional Dive
 
List of Times
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 attending Old Dominion? If yes, who?
 
What sparked your interest in ODU
 
What are the top three schools your interested in