Introduction Section
If you are a junior or younger please understand that NCAA rules prohibit us from calling you. However, you may give us a call or email us with any questions that you might have.
Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
Country:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
What is your connection to this university:
Parent(s) Information
Mother's First Name:
Mother's Last Name:
Mother's Occupation:
Mother's Email Address:
Mother's Cell Phone:
Mother's College:
Siblings (Names & Age):
Father's First Name:
Father's Last Name:
Father's Occupation:
Father's Email Address:
Father's Cell Phone:
Father's College:
Guardian Information
Guardian's First Name:
Guardian's Last Name:
Guardian's Address (If Different):
Guardian's City:
Guardian's State:
Guardian's Zip:
Gender:
Guardian's Occupation:
Guardian's Email Address:
Guardian's Cell Phone:
Guardian's Business Ph.:
Guardian's College:
Living With:
Academic Information
School Name:
GPA:
SAT Test Date:
SAT Reading:
SAT Math:
SAT Writing:
SAT Composite:
ACT Test Date:
ACT Sum Score:
ACT Composite:
TOEFL:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Club Information
Club Name:
Club Address:
Club City:
Club State:
Club Zip:
Club Coach:
Club Coach Cell:
Club Coach Email:
Athletic Information
Height
Weight (in lbs.)
Events

Important: Once you select an event all fields for that event are required and must be input correctly. If all fields are not filled out correctly then those values will not be logged with your application.

Distance Type Best 1 Best 1 Date Best 2 Best 2 Date
Event 1
Event 2
Event 3
Event 4
Event 5
Event 6
Positions
Water Polo
Other Questions
Water Polo Honors/Academic Achievements:
Other Competitive (HS) Sports :
Have you seen the Michigan Women play?:
Other Schools you are interested in?:
When you have completed this questionnaire please click submit questionnaire.
School Name:
State:
City:


Club Name:
Team Name:
Coach Last Name:
State:
City:


Club Name:
Team Name:
Club State:
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile: