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