Merrimack Women's Swimming Recruiting Questionnaire
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
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:
High School 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 Swimming:
Best Events:
Video Available
Club Team:
Club Coach Name:
Club Coach Phone/Email:
Year Round Training (Yes/No)
Weight Training Experience (Yes/No)
Dryland Experience (Yes/No)
# of swim practices/week:
Average Yards per Practice:
Injuries that affect training? (Yes/No)
Briefly explain
What do you consider your strengths?
What do you consider your weaknesses?
Athletic Honors (all-conference, all-state, all-area, etc.):
Team Highlights in career:
Best times -
indicate Y and/or M
50 Freestyle
100 Freestyle
200 Freestyle
400m/500 Freestyle
800m/1000 Freestyle
1500m/1650 Freestyle
50 back
100 back
200 back
50 breast
100 breast
200 breast
50 fly
100 fly
200 fly
200 IM
400 IM