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Questionnaire for Recruits
Personal Information
First Name:
Last Name:
Email Address:
Email Address again, to confirm:
(these emails or "from" fields must be completed for the form to reach us)
What is the best mailing address at which we can reach you?
Street Address or P.O. Box:
Apartment or Unit Number:
City:
State/Province:
Zip/Postal Code
Country:
Date of Birth:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1986
1987
1988
1989
1990
1991
1992
1993
1994
Social Security Number:
What is the best phone number at which we can reach you?
When is the best time we can reach you at that number?
Academic Information
High School:
City and State in which your high school is located:
Date (month and year) of your high school graduation:
SAT Score, critical reading:
SAT Score, math:
SAT Score, writing:
ACT:
Grade Point Average:
Athletic Information
Height:
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'
6'1"
6'2"
6'3"
6'4"
6'5"
Weight:
Do you row or cox?
Row
Cox
Years Rowed or Coxed:
Less than 6 months
6 Months - 1 Year
1 - 1.5 Years
1.5 - 2 Years
2.5 - 3 Years
3.5 - 4 Years
4.5 - 5 Years
More than 5 Years
Coach's Name:
Coach's Email Address:
Coach's Phone Number:
Ergometer Test Results and Dates
6 km:
2 km:
Other:
Junior National or Development Team Experience:
Athletic Background/History:
Your Greatest Rowing or Athletic Achievement:
Major Regattas in which you plan to race this season:
For High School Seniors
Have you applied to the University of Michigan? If so, when?
Have you been accepted?
Are you registered with the NCAA Clearinghouse?
MRU: 6 February 09
