Whitworth University Athletics
Swimming Questionnaire
Head Coach
Steven Schadt
(509) 777-4778
sschadt@whitworth.edu

General Information
 
Primary E-mail Address (required)

 
Date of Birth (required)
 /   / 
 
Legal First Name (required)


Middle Name

 
Legal Last Name (required)


Preferred First Name

 
Gender (required)
 
Type of Student (required)



Contact Information

 
Would you like to submit a foreign mailing address? (required)

 
Mailing Address Line 1 (required)


Mailing Address Line 2


City (required)


State/Province (required)


ZIP/Postal Code (required)


Country (required)

 
Home Phone Number (required)
( 
 
Cell Phone Number
( 

 
Parent's E-mail Address



Educational Information


Please include details about the high school you most recently attended.
 
Did you attend high school in the United States? (required)


How many previous colleges have you attended (please begin with the most recent attended)?



Additional Information

 
When do you plan to start attending Whitworth? (required)
 / 


Primary Area of Academic Interest
 
Other sports you wish to participate in at the college level:
 
High School Graduation Date (required)
 / 

SAT/ACT Score

High School GPA

College Attended

College GPA

Received A.A. Degree?

Athletic Information

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

If you would like to submit web links containing video of your athletic performance, you may include up to three below.

Web Link #1

Web Link #2

Web Link #3

This page is maintained by Steve Flegel, Sports Information Director
Copyright © Whitworth University. All Rights Reserved. | 300 W. Hawthorne Road, Spokane, WA 99251 | Campus Telephone: 509.777.1000