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CSUB Men's Swimming & Diving Prospective Athlete Questionnaire
If you are interested in CSU Bakersfield Women's Swimming & Diving please respond to the following questions, giving as much information as possible. If you have any questions about the program, please contact Gray Tedder via email at gtedder@csub.edu or by phone at 661-654-2071.

Required Fields in Bold

 
Contact Information

Full Name
 
Height, Weight
 
Mailing Address
 
City
 
State
 
Zip
 
Country (if outside the USA)
 
Home Phone
 
Cell Phone
 
Email
 
Birth Date (mm/dd/yy)
 
Mother's Name
 
Mother's Occupation
 
Father's Name
 
Father's Occupation
 
 
Academic Information

High School Name
 
Location (City, State & Country if outside the USA)
 
Graduation Date
 
Current Grade Point Average
 
Class Rank
 
SAT Score
 
ACT Score
 
 
TOEFL Score
 
Are you registered with the NCAA Clearinghouse?
 
Yes
No
Social Security Number
 
Desired Major(s)
 
Other universities you are considering attending.
 
 
Swimming Information

Swimming Events/Top Times/Top Marks
 
Awards/Honors/Accomplishments
 
High School Coach
 
High School Coach Phone
 
Club Team Name
 
Club Team Coach
 
Club Coach Phone
 
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