Office of Sports Information, Bloomsburg University of Pennsylvania

Bloomsburg University Swimming Recruiting Form

* Required Fields.
Personal Information
Name*   NCAA Eligibility Center ID # *
Street Address*    City*    State*    Zip Code*
Home Phone   Birthdate (mm/dd/yy)
E-Mail Address
Father's Name:   
Mother's Name:   
Academic Information
High School   
SAT-Verbal    SAT-Math    SAT-Written    Date Taken
ACT Score(s)   Date Taken
Grade Pt. Avg.   Class Rank   Graduation Date
Major Desired in College
Athletic Information
High School Coach   
Club/YMCA Coach   
Events/Times
Event 1   Time: 
Event 2   Time: 
Event 3   Time: 
Event 4   Time: 
Event 5   Time: 
Why are you interested in and swimming for Bloomsburg?
Leave any comments or questions for the Bloomsburg coaching staff.
If done, submit this form