| First Name: |
|
| Last Name: |
|
| Middle Name: |
|
| Home Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| Country: |
|
| Email: |
|
| Home Phone: (xxx-xxx-xxxx) |
|
| Cell Phone: |
|
| Birthdate: (MM/DD/YYYY) |
|
| Father's Name |
|
| Mother's Name |
|
| Father's Occupation |
|
| Mother's Occupation |
|
| Height |
|
| Weight |
|
| Shoe Size |
|
|
| Year of HS graduation |
|
| High School |
|
| GPA |
|
| Class Rank |
|
| ACT |
|
| SAT I Verbal |
|
| SAT I Writing |
|
| SAT I Math |
|
| SAT II Subject: (Writing, 700) |
|
| SAT II Subject: (Writing, 700) |
|
| SAT II Subject: (Writing, 700) |
|
| Intended Major |
|
| Interest in Miami: (High, Moderate, Low) |
|
|
| Club Team |
|
| Club Coach |
|
| Club Coach Phone |
|
| Club Coach Email |
|
| High School Team |
|
| HS Coach |
|
| HS Coach Phone |
|
| HS Coach Email |
|
| Top Times: (Event, Best Time, Date Competed)
|
| Event 1 (i.e. 50 Free, 24.5, 12/5/05) |
|
| Event 2 |
|
| Event 3 |
|
| Event 4 |
|
| Event 5 |
|
| Event 6 |
|
| Event 7 |
|
| Event 8 |
|
| What are your academic goals? |
|
| What are your athletic goals? |
|
| Please state injury History including Nature, Length, and Rehabilitation: |
|
|
|
|
|
