Today's Date

	Your Full Name (first, last, M.I.)

	Home Address

	City, State

	Zip Code

	Country

	Phone

	E-mail

	Date Of Birth

	High School

	Graduation Date

	NCAA Clearinghouse ID Number

	Height

	Weight

	High School Coach

	Phone

	Club Team

	Club Coach

	Phone

	1m Optional List (6 dives)

	3m Optional List (6 dives)

	Do You Have Platform Experience?

	Platform Optional List (6 dives)

	SAT Math

	SAT Verbal

	ACT

	PSAT/PACT

	GPA

	Class Rank/Out Of

	Academic Interest In College

	Other Colleges Considering

	Mother's Name

	Occupation

	College/University Attended

	Father's Name

	Occupation

	College/University Attended

	Awards/Honors

	Tell Us More About You

	Tell Us About Your Upcoming Competitions

	Other Sport Participation