Athletics

Whitworth Home Page >
Swimming Questionnaire
Head Coach
Steven Schadt
(509) 777-4778
sschadt@whitworth.edu

General Information
 
First Name (required)

Middle Initial
 
Last Name (required)
 
Address (required)
 
City (required)
 
State (required)
 
ZIP/Postal Code (required)
 
Phone Number (required)
()   
 
E-mail (required)
 
Birthdate (required)
 /   / 
 
Other sports you wish to participate in at the college level:

Academic Information
 
High School Name (required)
 
High School City (required)
 
High School State (required)
 
High School ZIP/Postal Code (required)
 
High School Graduation Date (required)
 / 

SAT/ACT Score

High School GPA

College Attended

College GPA

Received A.A. Degree?

Possible Major

Athletic Information

High School Coach's Name
 
High School Coach's E-Mail
 
High School Coach's Work Phone
()   
 
High School Coach's Home Phone
()   

Club Coach's Name
 
Club Coach's E-Mail
 
Club Coach's Work Phone
()   
 
Club Coach's Home Phone
()   

Have you filled out the FAFSA form and sent it in?
 
If you have sent it, on approximately what date was it sent?
 /   / 

Have you applied for admission to Whitworth?

Would you be willing to visit the campus?

Height

Weight

I would like to list the distances and times for  events.

Other Information

Father's Name

Father's Occupation

Mother's Name

Mother's Occupation
 
List any friends or family who have attended Whitworth, and your relationship to them:
 
Other information you would like us to know:

Interest Level


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300 W. Hawthorne Road, Spokane, WA 99251
Campus Telephone: 509.777.1000