Prospective Student Athlete Questionnaire - Swimming & Diving

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Gender

Birthdate (MM/DD/YY)

Email *

Instagram Handle

Height *

Weight *

High School Graduation Year* *

Academic Area of Interest at UVA

Family Connections to UVA

Relatives who attended Virginia and any sports they played.

High School Name

High School Grade Point Average* *

Class Rank

ACT/SAT Score

Eligibility Center ID Number* *

High School Counselor/Phone Number

Coach's Name / Phone Number

USS Club*

USS Coach / Phone Number*

USS Club Coach's Email*

Top Times / Dives

Email *