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Early Bird 2017

Duke Diving Questionnaire

* - required field.

Required Fields are in Bold

Personal Information
*Name:
 
Address, City, State, Zip:
 
*Phone:
 
*E-Mail:
 
Graduation Year:
 
Age:
 
Birth Date:
 
Sex:
 
Male
Female
Social Security Number:
 
Height:
 
Weight:
 
Family And Friends
Parents Names:
 
Relatives Who Attend(ed) Duke:
 
People You Know Currently Attending Duke:
 
High School Information
High School:
 
High School Phone:
 
High School Address, City, State, Zip:
 
High School Coach:
 
High School Coach's Phone:
 
Dive Club Information
Dive Club:
 
Dive Club Coach:
 
Dive Club Coach's Phone:
 
Number Of Years Diving Year Round:
 
Number of Practices Per Week:
 
Dryland Training (kind, amount):
 
Educational Information
GPA Weighted:
 
GPA Unweighted:
 
GPA Scale:
 
SAT Verbal:
 
SAT Math:
 
ACT:
 
AP Classes:
 
Possible Area Of Study/Major:
 
Other Schools Applying To:
 
Will You Be Applying For Financial Aid?:
 
Yes
No
Current List
One Meter:
 
Three Meter:
 
Best Scores (Please include date)
1M 6 Dives:
 
1M 11 Dives:
 
3M 6 Dives:
 
3M 11 Dives: