Yale Lightweight Crew Questionnnaire

*denotes required field


Personal Information



First Name*     Last Name*

Address*   City*  

State*   ZIP* Country

Email*  

Home Phone* Mobile Phone

Birth Date (MM/DD/YYYY)*

Height ft in  Weight lbs

Shoe Size




Family Information   

                                 

Father's Name Father's Occupation

Father's Work Phone Father's Email

Father's College

Mother's Name Mother's Occupation

Mother's Work Phone Mother's Email

Mother's College

The names and ages of my siblings are:


Rowing Siblings:



Athletic Information


Team Name

Coach Name

Office Phone Cell Phone

Email

Side You Row      Sculling
     Yes    No         

Erg Times
2K   5K 6K 10K

Other

Top Race Results


Other Athletic Achievements (ex: 1 mile run, 100m swim etc...)




Scholastic Information


High School

Address City State

ZIP Country

Weighted GPA Unweighted GPA

Class Rank Class Size

Graduation Year*

AP Exams



SAT: Date (mo/day/yr)
 Critical Reading
 Writing
 Math
SAT II:
ACT: Date (mo/day/yr)
 Composite
  

Counselor Name Phone Email

Course Schedule Senior Fall Semester (if known)


Favorite NFL Team