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New Mexico State Swimming and Diving Questionnaire
Prospective Student-Athletes Please Complete the Questionnaire Below:

Required Fields in Bold
 
Personal Information
First Name:
 
Last Name:
 
Social Security Number:
 
Date of Birth:
 
Address:
 
City:
 
 
State:
 
Zip:
 
Home Country:
 
Home Phone Number:
 
Cell Phone Number:
 
Email:
 
Mother's First Name:
 
Mother's Last Name:
 
Mother's Occupation:
 
Father's First Name:
 
Father's Last Name:
 
Father's Occupation:
 
Friends or Relatives who have attended NM State:
 
Why are you interested in NM State:
 
Registered with NCAA Clearinghouse:
 
Yes
No
NCAA Clearinghouse Number:
 
 
Academic Information
Hobbies/Interests/Outside Activities:
 
Current School's Name:
 
Graduation Year:
 
Class Rank:
 
Grade Point Average/Scale:
 
ACT:
 
SAT Math:
 
SAT Critical Reading:
 
SAT Writing:
 
SAT Total:
 
TOEFL:
 
Intended Major:
 
 
Athletic Information
Height:
 
Weight:
 
Number of Years in Swimming and/or Diving:
 
Number of Years Trained Year Round:
 
Total Hours of Training Per Week:
 
Have You Ever Had Any Injuries:
 
Number of Practices Per Week:
 
Amount of Yardage/Meters Per Week:
 
Weights and/or Dry-Land Training:
 
Best Performance 1 Event:
 
Time/Score and Course/Dive:
 
Date:
 
Best Performance 2 Event:
 
Time/Score and Course/Dive:
 
Date:
 
Best Performance 3 Event:
 
Time/Score and Course/Dive:
 
Date:
 
Best Performance 4 Event:
 
Time/Score and Course/Dive:
 
Date:
 
Club Team Name:
 
Club Team Coach's First Name:
 
Club Coach's Last Name:
 
Club Coach's Email:
 
Club Coach's Cell Phone Number: