Required Fields in Bold

Last Name:

First Name:

Preferred Name:

E-mail Address:

Home Phone:

Cell Phone:

Address:

City:

State or Country:

Zip Code:

Father's Name:

Occupation:

Father's College:

Mother's Name:

Occupation:

Mother's College:

Siblings (list college if applicable):

Date of Birth:

Height:

Weight:

High School:

Graduation Date:

G.P.A.:

ACT Score:

SAT Score:

Class Rank:

Academic Area of Interest:

NCAA Clearinghouse Pin #:

High School Coach:

Phone:

Club:

Club Coach:

Phone:

Family and friends who have attended Ohio State?

Hobbies/Interests outside of school and diving:

Long Term Goals - Diving

Long Term Goals - Academics

1 meter list, 3 meter list, 10 meter list (e.g. 107 b). Include dives you are working on.

What are your major considerations when choosing a university (Please rank the following in order of importance, 1-5) ... Academic fit with university/intended major, Strong relationship with head coach and staff, Facilities, Location of school, Getting along with teammates, Quality of diving program, Scholarship money offered, Other (If other please explain)