Lincoln College Swimming
Prospective Student-Athlete Questionnaire
Please complete the following.
* = required field
   
Personal Information
   
* First Name:
* Last Name:
* Address:
* City:
* State:
* ZIP:
* Telephone (Home):
xxx-xxx-xxxx
Telephone (Cell):
xxx-xxx-xxxx
* E-mail:
* DOB:
mo/day/year
Height:
 ft. in.
Weight:
 lbs.
Hobbies/Interests:  
   
Parent(s) or Guardian(s) Information
   
Father's Full Name:
Address (If different):
City:
State:
ZIP:
Telephone (Home):
xxx-xxx-xxxx
Telephone (Cell):
xxx-xxx-xxxx
 
Mother's Full Name:
Address (If different):
City:
State:
ZIP:
Telephone (Home):
xxx-xxx-xxxx
Telephone (Cell):
xxx-xxx-xxxx
   
School Information and Goals
   
* High School:
* City:
* State:
Phone:
xxx-xxx-xxxx
* Year Graduated (ex. 2009):
* GPA:
Test Scores:
 ACT: SAT:
   
* Desired Major and Goals:  
   
Academic Awards/Honors:  
   
Swimming Information
   
High School Coach:
Telephone:
xxx-xxx-xxxx
USA or Club Coach:
Telephone:
xxx-xxx-xxxx
   
* List Your Top Events and Top Times:
       
Distance & Stroke Time Year Yards/SCM/LCM
* * * *