Introduction Section
Hello from Jake, Jessica and Liberty University Swimming!!! Go Flames!!!
Personal Information
First Name:
Last Name:
Preferred Name:
Country:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
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 Occupation:
Mother's College:
Father's First Name:
Father's Last Name:
Father's Occupation:
Father's College:
Academic Information
School Name:
School Address:
School City:
School State:
School Zip:
School Phone#:
GPA:
SAT Reading:
SAT Math:
SAT Composite:
ACT Sum Score:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
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
Rank the questions below when considering a university in order of importance 1-7
Geographic location of university
Amount of Scholarship money offered
Quality of swimming program
Swimming Facility
Christian affiliated school
Academic match
Getting along with team
Other Questions
Online Recruiting Profile Link:
How many pull-ups can you do?:
What is your vertical jump?:
Do you love to race? :
Are you ready to work extremely hard?:
What is your favorite pump up song?:
What are your goals? Trials, Sr. Nats, etc?:
Do you lift weights? If so how often? :
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: