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Introduction Section

This is the University of Michigan Women's Swimming & Diving Questionnaire. Please note the following standards for the Women's Swimming Team:
Event SCY LCM
50 Fr 23.4 26.9
100 Fr 50.9 58.3
200 Fr 1:49.7 2:05.3
400/500 Fr 4:52.0 4:23.7
1500/1650 Fr 16:46.1 17:20.4
100 Bk 56.5 1:05.5
200 Bk 2:01.2 2:20.6
100 Br 1:04.2 1:14.2
200 Br 2:19.7 2:40.0
100 Fl 55.9 1:03.3
200 Fl 2:03.2 2:19.5
200 IM 2:03.7 2:22.4
400 IM 4:23.6 5:01.8

You should be a strong student with a minimum GPA of 3.3. If you have not achieved these standards please return to this site when you have.

Questionnaire Code
(not required):

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:

Skype:

Google Talk:

FaceBook:

paste the URL from your Facebook profile

Twitter:

enter your twitter username only

What is your connection to this university:

Parent(s) Information

Mother's First Name:

Mother's Last Name:

Mother's Address (If Different):

Mother's City:

Mother's State:

Mother's Zip:

Mother's Occupation:

Mother's Email Address:

Mother's Cell Phone:

Mother's Business Ph.:

Mother's College:

Living With:

Siblings (Names & Age):

Father's First Name:

Father's Last Name:

Father's Address (If Different):

Father's City:

Father's State:

Father's Zip:

Father's Occupation:

Father's Email Address:

Father's Cell Phone:

Father's Business Ph.:

Father's College:

Living With:

Most Influential People in Your Life: (1)

Most Influential People in Your Life: (2)

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:

School Address:

School City:

School State:

School Zip:

School Phone#:

School Fax#:

Counselor's First Name:

Counselor's Last Name:

GPA:

SAT Test Date:

SAT Reading:

SAT Math:

SAT Writing:

SAT Composite:

ACT Test Date:

ACT Sum Score:

ACT Composite:

ACT English:

ACT Math:

ACT Reading:

ACT Science:

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 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

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