Hood College Blazer Swimming

Swimming Questionnaire

Please fill out and submit the questionnaire below. The questionnaire will be submitted to Don Feinberg, Head Swimming Coach, Hood College, 401 Rosemont Avenue, Frederick, Md. 21701. Items marked with an asterisk (*) must be filled in.

Personal Information
First name:*
Last name:*
E-mail address:*
Phone:*
Address:*
City:*
State:*
ZIP:*
Date of birth:*
Graduation year:*
Parent/Guardian name(s):*
High school name:*
High school address:
High school city:*
High school state:*
High School ZIP:*
Coach:*
Coach's phone:*
Academic Information
Guidance counselor:*
Phone:*
Grade Point Average:*
P.S.A.T. Score Verbal:
P.S.A.T. Score Math:
S.A.T. Score Verbal:
S.A.T. Score Math :
Class Rank :
Anticipated college major:
Academic honors:	List academic honors here
Individual athletic honors:	List individual athletic honors here
Team accomplishments :	List team accomplishments here
Swimming Information
No. of months per year spent swimming:*
No. of years swimming:*
No. of practices per week:*
Avg. yardage per day:*
Do you work out with weights or do dryland work (if yes, explain):	Explain here
Best Time and Date for Free (50 yards):*
Best Time and Date for Free (50 meters):*
Best Time and Date for Free (100 yards):*
Best Time and Date for Free (100 meters):*
Best Time and Date for Free (200 yards):*
Best Time and Date for Free (200 meters):*
Best Time and Date for Free (400 yards):*
Best Time and Date for Free (400 meters):*
Best Time and Date for Free (500 yards):*
Best Time and Date for Free (500 meters):*
Best Time and Date for Free (800 yards):*
Best Time and Date for Free (800 meters):*
Best Time and Date for Free (1,000 yards):*
Best Time and Date for Free (1,000 meters):*
Best Time and Date for Free (1,650 yards):*
Best Time and Date for Free (1,500 meters):*
Best Time and Date for Breast (100 yards):*
Best Time and Date for Breast (100 meters):*
Best Time and Date for Breast (200 yards):*
Best Time and Date for Breast (200 meters):*
Best Time and Date for Back (50 yards):*
Best Time and Date for Back (50 meters):*
Best Time and Date for Back (100 yards):*
Best Time and Date for Back (100 meters):*
Best Time and Date for Back (200 yards):*
Best Time and Date for Back (200 meters):*
Best Time and Date for Butterfly (50 yards):*
Best Time and Date for Butterfly (50 meters):*
Best Time and Date for Butterfly (100 yards):*
Best Time and Date for Butterfly (100 meters):*
Best Time and Date for Butterfly (200 yards):*
Best Time and Date for Butterfly (200 meters):*
Best Time and Date for IM (200 yards):*
Best Time and Date for IM (200 meters):*
Best Time and Date for IM (400 yards):*
Best Time and Date for IM (400 meters):*

Athletics.

Hood College Blazer Swimming

Swimming Questionnaire

Personal Information

Academic Information

Swimming Information

Men's Swimming

Poll

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