Matador Women's Water Polo Recruit Questionnaire

PERSONAL INFORMATION

Name (Last) (First) (Middle) (Nickname)

City

State

Zip Code

Home Phone

Birthday

Age

Father's Name

Father's Occupation

Mother's Name

Mother's Occupation

Best Time to Contact You

SCHOLASTIC INFORMATION

High School

Phone

Address

City

State

Zip Code

Anticipated Area of Study

H.S. Graduation Date

Educational Goals

Grade Pt. Ave.

SAT

ACT

PSAT

WATER POLO INFORMATION

What position do you want to play at Cal State Northridge?

Position(s) Played:

Height

Weight

Best 100 Free Time

Best 50 Free Time

Left or Right Handed

H.S. Coach

Home Phone

Cap Number

JC/Club Team

Coach's Name

Phone

Awards/Honors

Have you ever participated in Zone, Youth or Junior Team Tryouts? Please Explain:

Other Sports Played:

Also Recruited By:

How interested are you in Cal State Northrdige (Click one)

One of MY Top 2 or 3 Choices

Very

Interested

Need More Information

List your top 5 colleges as of right now

I GIVE CAL STATE NORTHRIDGE PERMISSION TO VIEW MY TRANSCRIPTS, TEST SCORES, AND TO OBTAIN A COPY OF MY HIGH SCHOOL OR JUNIOR COLLEGE TRANSCRIPT.

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