Mercyhurst College Athletics - Water Polo Recruiting Questionnaire

Water Polo Recruiting Questionnaire

Interested in playing water polo at Mercyhurst? Please fill out the form below.

Personal Information:
Sport(s) you are interested in: *
Name:
Home Address:
City, State, Zip:
Home Phone Number:
Cell Phone Number:
E-mail address:
Date of Birth:
Father's Name:
Mother's Name:
Academic Information:
High School Graduation Date:
High School:
High School Address:
Grade Point Average:
Intended College Major:
SAT Math Score:
SAT Verbal/Reading Score:
SAT Writing Score:
ACT Composite Score:
Academic Honors:
Athletic Information:
Position:
Height:
Weight:
Dominant Hand:
Goals Scored:
Saves/Field Blocks:
Assists:
Steals:
Cap Number:
High School Coach:
Coach's Phone Number:
Coach's E-mail Address:
Water Polo Honors:
Club Team:
Club Coach:
Club Coach's Phone Number:
Club Coach's E-mail Address:
Other sports played:
Top Swim Times and Awards:
Are you currently enrolled in another four-year institution or community college?	YesNo
If yes, please list the institution(s) followed by year(s) attended:
Have you applied for admission to Mercyhurst?	YesNo
Have you registered with the NCAA Clearinghouse?	YesNo
Are you interested in an official visit to Mercyhurst?	YesNo
If yes, when would be the best time to visit:

CAPTCHA Validation

A CAPTCHA is a program that protects websites against bots by generating and grading tests that humans can pass but current computer programs cannot. Please type the letters you see in the graphic on the left into the box on the right. Please note that it is case-sensitive.