Introduction Section
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:
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
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:
Living With:
Siblings (Names & Age):
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
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:
Living With:
Most Influential People in Your Life: (1)
Most Influential People in Your Life: (2)
Academic Information
{{item.text}} No schools matching "{{sd.searchText}}" were found.
School Name:
School Address:
School City:
School State:
School Zip:
School Phone#:
Counselor's First Name:
Counselor's Last Name:
Counselor's Phone:
Counselor's Email:
GPA:
SAT Test Date:
SAT Reading:
SAT Math:
SAT Writing:
SAT Composite:
ACT Test Date:
ACT Composite:
TOEFL:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Club Information
Club Name:
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
Event
Event
Other Questions
What other schools are you considering?:
Date you hope to decide on which University to attend?:
How much training do you do (include # of practices per week and amount of yards or meters per week)?:
What is your experience with weightlifting?:
What are your focus meets this season?:
Do you have any relatives that have attended Rutgers?:
What are your hobbies, interests, or activities outside of swimming and/or diving?:
Why are you interested in Rutgers University and our swimming and diving program?:
What are your goals for competing in college?:
Is there any additional information you would like to share with us?:
Diving Only: Please list you optional dives for 1M.:
Diving Only: Please list your optional dives for 3M.:
Diving Only: Please list your optional dives for Platform.:
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:

Do you still want to add the prospect?