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Introduction Section

Questionnaire Code
(not required):

Personal Information

First Name:

Middle Name:

Last Name:

Preferred Name:

Country:

Address Type:

Street Address:

City:

State:

Zip:

Grad Year:

Date of Birth:

Email Address:

Home Phone:

Mobile Number:

Skype:

Snapchat:

FaceBook:

Twitter:

Instagram:

What is your connection to this university:

Parent(s) Information

Parent 1's First Name:

Parent 1's Last Name:

Parent 1's Address (If Different):

Parent 1's City:

Parent 1's State:

Parent 1's Zip:

Parent 1's Occupation:

Parent 1's Email Address:

Parent 1's Cell Phone:

Parent 1's Business Ph.:

Parent 1's College:

Siblings (Names & Age):

Parent 2's First Name:

Parent 2's Last Name:

Parent 2's Address (If Different):

Parent 2's City:

Parent 2's State:

Parent 2's Zip:

Parent 2's Occupation:

Parent 2's Email Address:

Parent 2's Cell Phone:

Parent 2's Business Ph.:

Parent 2's College:

Most Influential People in Your Life: (1)

Most Influential People in Your Life: (2)

Academic Information

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School Name:

School Address:

School City:

School State:

School Zip:

School Phone#:

School Fax#:

Counselor's First Name:

Counselor's Last Name:

Counselor's Phone:

Counselor's Fax:

Counselor's Email:

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 Zip:

Club Coach:

Club Coach Cell:

Club Coach Office:

Club Coach Home:

Club Coach Email:

Athletic Information

Height

Weight (in lbs.)

YouTube

College Preference #1
College Preference #2
College Preference #3
Do you know anyone who has attended/is attending Seattle?
If so, who?

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

Swimming and Diving

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