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UNI Swimming & Diving Questionnaire
Please fill out the following questions. When finished, your answers will be submitted to a member of the UNI swimming & diving coaching staff.

Required Fields in Bold
First Name
 
Last Name
 
Home Address
 
City
 
State
 
Zip Code
 
Cell Phone
 
 
Home Phone
 
Email
 
Date of Birth
 
Graduation Date
 
Height
 
Weight
 
Desired Major
 
Best Event & Time
 
2nd Best Event & Time
 
Third Best Event & Time
 
4th Best Event & Time
 
5th Best Event & Time
 
Club Team Name
 
Club Team Coach
 
Club Team Coach Phone
 
Club Team Coach Email
 
High School
 
High School Coach
 
High School Coach Phone
 
High School Coach Email
 
Does anyone in your family currently attend UNI?
 
Has anyone in your family attended or graduated from UNI?
 
Additional Comments
 
Missouri Valley Football Conference
Missouri Valley Conference
Learfield Sports
University of Northern Iowa
Diversity Matters