Personal
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| Name |
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| Graduation Year |
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| Address (Street) |
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| City |
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| State |
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| Zip code |
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| Home Phone Number |
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| Cell Phone Number |
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| E-mail Address |
*required |
| Date of Birth (mm-dd-yyyy) |
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| Names of Parents |
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| Parent Occupations |
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| R-MC Students or Alums you know |
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Academic
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| High School |
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| High School City |
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| High School State |
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| Guidance Counselor |
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| School Phone |
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| Class Rank |
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| Number of students in your class |
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| Grade Point Average |
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| SAT Critical Reading |
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| SAT Math |
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| SAT Writing |
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| ACT |
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| Desired field(s) of study |
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| Are you planning to apply for financial aid? |
Y or N |
| Other colleges you are considering |
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Athletic
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| High School Coach's Name |
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| High School Coach's phone number |
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| High School Coach's Email |
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| Club Team |
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| Club Team Coach's Name |
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| Club Team Coach's phone number |
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| Club Coach's Email |
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| EVENTS |
INDICATE TOP TIMES |
| 50 Freestyle |
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| 100 Freestyle |
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| 200 Freestyle |
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| 500 Freestyle |
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| 1000 Freestyle |
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| 1650 Freestyle |
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| 100 Butterfly |
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| 200 Butterfly |
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| 100 Backstroke |
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| 200 Backstroke |
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| 100 Breaststroke |
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| 200 Breaststroke |
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| 200 Individual Medley |
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| 400 Individual Medley |
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| Height |
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| Swimming Honors/Goals for the Season |
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| Any other pertinent information |
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