The College of William and Mary

THE COLLEGE OF WILLIAM AND MARY ______TRIBE SWIMMING AND DIVING DATE

Name Birth Date FIRST MIDDLE LAST PREFERRED NAME Address STREET CITY/STATE ZIP CODE Home Phone Cell Phone Best time to call (time zone) E-mail Address Social Security # Height ft. in. Weight lbs. Mother’s Name Occupation Father’s Name Occupation

ACADEMIC INFORMATION

High School School Phone

Address STREET CITY/STATE ZIP CODE Graduation Date G.P.A. Class Rank out of

SAT: Verbal Math Writing Date Taken Counselor ACT Composite Date Taken Counselor

Possible Majors:

Career Interests:

Have You Registered with the NCAA Clearinghouse? Clearinghouse ID: DIVING INFORMATION High School/Prep School USA Diving

Best 6 dive score Best 1 meter score Best 11 dive score Number of dives District score Event Place Best 3 meter score State score Number of dives Place Event

List of dives used 1 meter dives 3 meter dives Voluntary dives Voluntary dives Dive Position Dive Position 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. Optional dives Optional dives 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. 6. 6.

Club Name Club Coach Club Address Coach’s Phone # High School Coach Coach’s Phone #

TRAINING PROGRAM

# of practices per week? AM PM # of hours per practice? AM PM

Trampoline experience

Dry board experience

Do you lift weights? ___Yes ___No # per week Type Do you do drylands? ___Yes ___No # per week Type

GENERAL INFORMATION Do you know anyone who has attended William and Mary? Do you know any swimmers/divers attending William and Mary?

List any diving related injuries:

List other hobbies you have outside of diving:

List characteristics that best describe you as a diver/person:

1. 2. 3.

List what is most important to you when choosing a school:

1. 2. 3.

What other schools will you consider?

1. 3. 2. 4.

Are you considering early decision: ___Yes ___No (check one)

Please return to: Joyce D’arcy Head Coach of Diving The College of William and Mary PO Box 399 Willliamsburg, VA 23187 Fax: 757-221-2989