Cardinals Athletics

Prospective Athlete Form - Synchronized Swimming

Name :
Telephone :
Address :
City :
State/Province :
Zip/Postal Code :
Home Telephone :
E-mail address :
Birthdate :
Social Security Number :
   
Registered with NCAA Clearing House : Yes    No
Clearing House PIN Number :
Clearing House School Code Number :
   
Parents  
Mother's Name :
Occupation :
Father's Name :
Occupation :
   
Grade Point Average (4.0 Scale) :
SAT / ACT Scores :
Class Rank :
Graduation Year :
Current School :
If transferring, from where :
Possible Major :
Academic Honors :
Athletic Honors :
Other Schools You are Considering :
   
Club Team :
Coach's Name :
Coach's Telephone :
Coach's E-mail :
   
Years In Synchro :
Ranking in Last National Competition :
How Did You Hear about UIW :
What are your college synchro goals :
What are your college academic goals :