Campbellsville University TigerShark Questionnaire

Personal Information
Full Name: Preferred Name:
E-mail: Address:
City: State: ZIP:
Phone: Cell Phone: Birth Date:
Academic Information
High School: Year of Graduation: High School GPA:
ACT Score: SAT Score: Class Rank:
Athletic Information
High School Coach: Office Phone: High School Coach email:
Club Coach: Phone: Club Coach email:
Swimming
Years Swum: Previous Injuries:
Height: Weight: Other Sports Played:
Club Team: Do You Use Weights? YesNo
Notable Statistics:
Honors and Awards:
Swim Times
Freestyle 50:
Freestyle 100:
Freestyle 200:
Freestyle 500:
Freestyle 1000:
Freestyle 1650:
Breaststroke 100:
Breaststroke 200:
Backstroke 100:
Backstroke 200:
Butterfly 100:
Butterfly 200:
Individual Medley 200:
Individual Medley 400:
Other Information
Extracurricular Activities: Preferred Major in college: Features you're looking for in a college: