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Women's Swimming and Diving Recruiting Questionnaire

If you are a high school student-athlete interested in swimming or diving at Pepperdine, please fill out the following and it will be e-mailed to the coaching staff.

Required fields in bold

Name

E-mail

Age

Date of Birth

Social Security Number (Last 4 Digits)

Graduation Year

Address

City & State

Zip Code

Home Phone

Father's Name and Occupation

Mother's Name and Occupation

Relatives or Friends at Pepperdine

High School or JC

Address

City, State, Zip

GPA

Intended Major

SAT Score and Date Taken

ACT Score and Date Taken

Event(s)

Height

Weight

Club Team

Coach's Name

Address

City, State, Zip

E-Mail Address

MOST RECENT TIMES (and link for verification)

50 Free

100 Free

200 Free

500 Free

1000 Free

1650 Free

200 IM

400 IM

100 Fly

200 Fly

100 Breast

200 Breast

100 Back

200 Back

DIVING LIST and SCORES

One Meter List

Three Meter List

Most Recent Meets/Scores (dates, meets, and links for verification)

Divers...please send video or DVD to: Nick Rodionoff, Head Coach Women's Swimming and Diving
Team Pepperdine University 24255 Pacific Coast Highway Malibu, CA 90263 Nick.Rodionoff@pepperdine.edu

Interest in Pepperdine:
Extreme
Moderate
Low

Honors and Achievements

Athletic Honors

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