SWIMMING & DIVING

Men's Swimming & Diving Recruitment Form

If you are a prospective student interested in participating in the Norwich swimming and diving program, our coaching staff would appreciate your completing this questionnaire.

All data collected is private and confidential. Information will be used only internally and will not be released to persons or institutions outside Norwich University without your written consent.

* = REQUIRED

Personal Information

Name:*

Street:*

City:*

State/Province:*

Zip/Postal Code:*

Country:*

Phone:*

Email:*

Mother's/Guardian's Name:

Father's/Guardian's Name:

Swimming & Diving Experience

High School Coach:

Coach's Home Phone:

Coach's Work Phone:

Coach's Email Address:

Club Coach:

Club Coach's Home Phone:

Club Coach's Work Phone:

Club Coach's Email Address:

Best Four Events (times recorded in actual competition only):

EVENT: Time: Date:

Athletic awards received:

Academic Information

High School

School Name:

Street Address/PO Box:

City:

State/Province:

Zip/Postal Code:

Guidance Counselor:

Guidance Counselor Phone:

Your Graduation Year:

GPA:

SAT Score - Verbal:

SAT Score - Math:

ACT Score:

Academic/Career Interests:

Other colleges of interest to you:

Questions/Suggestions

Questions/Suggestions:

Contact Information

Head Coach Laura Dunn
ldunn@norwich.edu
802.485.2507

Men's Swimming & Diving
Norwich University
158 Harmon Drive
Northfield, VT 05663 USA

Send Request

To send your request, press Submit.