Monmouth Swimming Questionnaire
Please complete all areas of this form. A member of the coaching staff will be in touch with you. Thank you for your interest in the Monmouth University Swimming program.

Required Fields in Bold

Last Name
 
First Name
 
Middle Name
 
Home Address
 
City
 
State
 
Zip Code
 
Date of Birth
 
Email Address
 
GPA/Class Rank
 
Home Phone
 
Mobile Phone
 
Height
 
Weight
 
Gender
 
What is your connection to Monmouth University?
 
Who is the most influential person in your life?
 
Parent or guardians names (Please include both parents/Guardians)
 
Occupation of parents or guardians (Please include both parents/Guardians)
 
Parent or guardian Email Address
 
College or University attended by parents or guardians (If Applicable)
 
 
High School Information

Name of High School
 
High School Address
 
High School phone number and fax machine
 
High School Guidance Counselor
 
High School Swim Coach
 
 
HS Coach Phone #/Email
 
Club Team
 
Club Swim Coach
 
Club Swim Coach Phone #/Email
 
Intended Major
 
High School Graduation Year
 
SAT Scores/Test Date
 
Have you joined the NCAA Eligibility Center?
 
If yes, what is your ID #?
 
 
Swimming Information

Swim Event 1/Best Time
 
Swim Event 2/Best Time
 
Swim Event 3/Best Time
 
Swim Event 4/Best Time
 
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