University of Wisconsin - Eau Claire Athletics

Personal Information

Your Name:
Address:
City:
State:	ZIP:
Country:
Area Code & Phone Number:
Email:
Preferred Method of Contact

Academic Information

ACT and/or SAT Score:
Transfer Student	Yes No
If Yes, School Currently Attending
High School Grad. Date:
High School GPA:	on a scale of
Class Rank:	out of students
Class Percentile:

College Academic Information

Desired Major:
Level of Interest in UWEC:
Have you ever applied to UWEC?	Yes No
If Yes, were you accepted?	Yes No
What other schools are you interested in?:
What are your major considerations when considering a university?:

Swimming and Diving Information

High School Team:
Coach:
Coach's Area Code & Phone:
USS or YMCA Team:
Coach:
Coach's Area Code & Phone:
Yardage in a typical Workout:
Have you ever worked with weights?	Yes No

	Board/Length	Dive/Stroke	Time/Score
Event 1:
Event 2:
Event 3:
Event 4:

Copyright © UW-Eau Claire Athletic Department
ALL RIGHTS RESERVED
Tim Petermann
Department of Kinesiology and Athletics
Last Updated: