NOTE:This form is not an official university application.
This form will be used by the swimming coaching staff to help determine prospective student-athletes.
NCAA rules prohibit coaches from contacting freshman and sophomores in high school.

Personal Information

Date Form Completed

Is this the FIRST form you have completed for Yale Swimming and Diving? Yes No

Is this an UPDATE of a form you completed earlier for Yale Swimming and Diving? Yes No

Gender

Full Name NickName

Address

City State Zip Code

Phone Birth Date

Height Weight

E-mail Address Social Security #

Father's Name Occupation College

Mother's Name Occupation College

Academic Information

High School Name Graduation Date (month, year)

Street

City , State Zip Phone

Guidance Counselor

Academic Interests

Academic/Athletic Honors

Class Rank out of G.P.A.

Test Scores:

Best SAT: Date (mo/day/yr) Critical Reading Math Writing
Best ACT: Date (mo/day/yr) Composite  
SAT IIs: Date (mo/day/yr) Subject Score
Date (mo/day/yr) Subject Score
Date (mo/day/yr) Subject Score

Swimming Information

Swimmers:
Please Enter your Best Times:
  SCY LCM   SCY LCM
50 Free 200 Back
100 Free 100 Breast
200 Free 200 Breast
400/500 Free 100 Fly
800/1000 Free 200 Fly
1500/1650 Free 200 IM
100 Back 400 IM


Diving Information

Divers:
Please list Dives and Scores

Club Information

USA Swimming/Diving Coach:
Club Name:
Address:
City:   State:   Zip:

Club Phone:

High School Coach: Phone:

Non-Athletic Activities

Student Body Officer Editor, School Publication Field of Study
Class President National Honor Society Other

Interest Level

Other Colleges of Interest

Do you intend to apply for financial assistance to attend college (optional). Yes No

Level of interest in Yale:
 High (1st or 2nd choice)
Very Strong (in top 5)
Considering among others (more than 5)

Are you considering a single choice early action application to Yale?
Yes
No

Names of Yale students or alumni who you know:

Anything else you would like us to Know:

Questions? Comments? Email the webmaster.