Diving Questionnaire

Full Name*

Address*

City/State/Zip*

Email Address*

Cell or Home Number*

NCAA Clearinghouse #

Birth Date*

Height*

Weight*

Mother's Name

Mother's Occupation

Father's Name

Siblings That Played College Sports

Father's Occupation

High School / Junior College*

City/State/Zip

Graduation Year*

SAT or ACT Score

GPA

Class Rank

Planned Course of Study

Counselor Name

Career Interests

Club Team Name

Club Coach

Club Coach Phone Number

Club Coach Email

HS Coach

HS Coach Phone Number

HS Coach Email

# Practices / Week

# Hours / Practice

How many years have you been diving?

Trampoline Experience

Dry Board Experience

Weightlifting?

Yes

Type & Times of Weightlifting Per Week

Drylands?

Yes

Type of Drylands?

List Your Hobbies

Do you know anyone in Arkansas or at the University?

Dates of HS Season

List any injuries or conditions that have affected your participation in diving:

List your athletic honors:

Describe yourself as a diver/person

What is most important to you when choosing a school?

What other schools are you considering?

HIGH SCHOOL / PREP SCHOOL Best 6 Dive Score

Best 11 Dive Score

District Score/Place

State Score/Place

USA Diving/AAU Best 1-Meter Score

Best 3-Meter Score

Best Tower Score

List Your 1-Meter List

List Your 3-Meter List

List your tower dives and level for your list

Attach Your Meet Schedule

Attach Your Photo

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