Want to Swim or Dive?

Thinking about swimming or diving at WPI? Fill out this form and submit it to have a recruiter contact you. Required fields are marked with an asterisk (*).

Personal Information

*Name:

*E-mail:

Nickname:

Address:

City:

State:

Zip:

Phone:

Date of Birth:

Mother's Name:

Mother's Occupation:

Father's Name:

Father's Occupation:

Legal Guardian's Name:

Parent's Marital Status:

School Information

High School:

Graduation Date (mo/yr):

Guidance Counselor:

Desired College Major:

High School GPA:

Class Rank:

Choose a Test:

Verbal:

Math:

Writing:

Total:

Do you plan to take another test?

Month of test:

List Any Academic Honors:

Swimming & Diving Information

Head H.S. Coach:

H.S. Coach's Phone:

Club Team (if applicable):

Club Coach's Name:

Club Coach's Phone:

Best Stroke:

Back
Breast
Butterfly
Freestyle

Please list all known times:

50 Free
100 Free
200 Free
500 Free
1000 Free
1650 Free

100 Back
200 Back

100 Fly
200 Fly

100 Breast
200 Breast

200 IM
400 IM

Please list 1-Meter Dives and Scores:

Please list 3-Meter Dives and Scores:

Other Sports Played:

List Athletic Honors
(e.g., captain of any team):

Worcester Cup Champions - 2004, 2006, 2007

Want to Swim or Dive?

Personal Information

School Information

Swimming & Diving Information

Other Questions