Introduction Section
Azusa Pacific Water polo is a highly competitive NCAA institution in the Golden Coast Conference. We strive for excellence in all areas, both in and out of the pool. Because of this culture, we request that you fill out this survey to the best of your ability. Thank you for taking this survey seriously and we look forward to assessing your ability.
Personal Information
First Name:
Last Name:
Preferred Name:
Country:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Mobile Number:
Instagram:
@
What is your connection to this university:
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 2's First Name:
Parent 2's Last Name:
Academic Information
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Have you Joined the Eligibility Center?
Eligibility ID:
Other Questions
Do you have a link to an outside recruiting profile? Please put links here:
When you have completed this questionnaire please click submit questionnaire.
School Name:
OR :
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:

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