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Worcester Polytechnic Institute Men's Aquatics - Swimming Questionnaire
Thank you for your interest in Worcester Polytechnic Institute and our men's aquatics - swimming program. By filling out the questionnaire completely, you will not only help the coaching staff contact you regarding participation in men's aquatics - swimming, but also begin the process of reviewing your academic Information to your application for attendance at Worcester Polytechnic Institute.

Choosing Colleges is a tremendous journey in a student athlete's career. We at Worcester Polytechnic Institute are honored that you have chosen to include us in your search.

I look forward to speaking with you further!

Paul Bennett, Head Coach
pbennett@wpi.edu
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COUNTRY
Tell us about. . .      Yourself
FIRST NAME
 
LAST NAME
 
BIRTHDAY  
HEIGHT    Feet      Inches
WEIGHT    Pounds
ATHLETIC
YEAR IN SCHOOL
 
Position
Jersey #    
CLEARINGHOUSE ID    
ACADEMIC
GPA  
CLASS RANK   RANK:     CLASS:
ACT English    
Math    
Reading    
Science    
Composite    
SAT reading    
Math    
Writing    
Composite    
Academic Interests    
How do we contact You?
EMAIL
PHONE HOME
MOBILE
ADDRESS LINE 1
 
LINE 2    
LINE 3    
CITY
 
STATE
ZIP    
Tell us about. . .      Your Parent(s)
(1)
TYPE    
FIRST NAME    
LAST NAME    
Marital    
Occupation    
EMAIL    
PHONE HOME  
MOBILE  
WORK  
(2)
TYPE    
FIRST NAME    
LAST NAME    
Marital    
Occupation    
EMAIL    
PHONE HOME  
MOBILE  
WORK  
Tell us about. . .      Your School
NAME    
TYPE
 
PHONE
ADDRESS LINE 1
 
LINE 2    
LINE 3    
CITY
 
STATE
ZIP    
Tell us about. . .      Your High School Coach
FIRST NAME    
LAST NAME    
EMAIL    
PHONE HOME  
MOBILE  
WORK  
Tell us about. . .      Your High School Counselor
FIRST NAME    
LAST NAME    
EMAIL    
PHONE HOME  
MOBILE  
WORK  
Tell us about. . .      Your Club
NAME    
WEB  
POSITION  
PHONE  
ADDRESS LINE 1    
LINE 2    
LINE 3    
CITY    
 
   
Tell us about. . .      Your Club Coach
FIRST NAME    
LAST NAME    
EMAIL    
PHONE HOME  
MOBILE  
WORK  
Questions from the Coaches . . .
Mathmatics Score from either SAT or ACT
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List your best event and best time in that event.
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List your second best event and time in that event
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List your third best event and time in that event
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Your Message to the Coaches
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DISCLAIMER:
By submitting your information to this Coach, Team or College, you are acknowledging that you may be contacted by Phone, Email or Snail Mail. You are approving of this contact by submitting this Questionnaire.

There is no guarantee that the Coach, Team or College will contact you solely based on your submittal of this Questionnaire.
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