Swimming & Diving Recruit Form
 

High School Swimmers & Divers:
If you are interested in Occidental's Swimming & Diving Program, please complete this form.

Today's Date: 

Name:
Address:
City: 
State:     Zip Code: 
Telephone (w/area code): 
Graduation Year: 
Male/Female:
Birth Date:               Age: 
Email Address: 

Mother (Guardian):
Occupation:
Alma Mater:
Father (Guardian): 
Occupation: 
Alma Mater: 
Siblings: 

High School: 
Head Coach: 
Height: Weight: 

Event Times
50 FR:  100 FR:  200 FR: 
500 FR:  100 FL:  200 FL: 
100 BA:  200 BA:  100 BR: 
200 BR:  200 IM:  400 IM: 

Other events/times:

Athletic Honors:

Other Sports: 
Injuries: 

Area(s) of Academic Interest: 

List Courses You've Received Grade of C or less: 

Solid GPA: 
Class Rank (rank/class size):

ACT Composite: 
SAT Scores:
Critical Reading:  Math:  Writing: 

OXY Students or Alums You Know: 
List The Colleges of Your Choice:
(1st): 
(2nd):
(3rd): 

Thank you!