Merrimack Crew Questionnaire

ATTN: David LeFebvre
315 Turnpike St.
North Andover, MA 01845

This form is not an official college application.

Personal Information


First name:
Last name:
Home Phone:
Cell Phone:
Date of Birth:
Parents' Names
Parents Email
Father's Occupation
Mother's Occupation


Academic Information


High School Name:
College Name
(if applicable)
High School/College Address:
High School/College Phone:
Guidance Counselor:
Crew coach:
Coach's Phone Number:  
Coach's Email:  
Expected High School Graduation Month/Year:
Intended major at Merrimack:
High School Grade-Point Average:
College Grade-Point Average:
(if applicable)
Class Rank: of
SAT Score (verbal and math):
ACT Score:
Do you plan to take either test again? Yes No
If yes, which one and when?
Have you registered with the NCAA Clearinghouse? Yes No

If yes, what is your NCAA registration number?

Have you ever applied to Merrimack College? Yes No
If yes, is your application status: Accepted Still waiting
Do you intend to apply for financial aid at Merrimack? Yes No
Other colleges you are Interested in:
Number of college looking to apply to:


Athletic Information


Years of Crew:
Video Available
What do you consider your strengths?
What do you consider your weaknesses?
2000 meter test score:
5000/6000 meter test score:
Athletic Honors (all-conference, all-state, all-area, etc.):
Team Highlights in career: