Recruit Questionnaire

Thank you for your interest in rowing at Dartmouth. Please complete and submit the following form. If you have any updates or new scores please be sure to forward them along with any questions to freshman lightweight coach Brian Conley.

Legal Name:

Social Security #:

Gender:

Nickname:

Date of Birth:

Citizen of:

Home Mailing Address (including City, State, Zip):

Home Phone:

Cell Phone:

Fax:

Email Address:

Racial/Ethnic Background (optional):

Parent's class (if they attended Dartmouth):

Are you registered with the NCAA clearinghouse? What is your number

High School name and address:

High School phone:

High School College Board #

Guidance Counselor Name:

Do you have an Application?

Sports you plan to play in College:

Height Weight

2 k erg score:

6k erg score:

Side rowed:

Best PSAT (Verbal and Math)

Best SAT I scored Verbal MathCritical Reading

SAT II scores

Future test dates for SAT:

Future test dates for SAT II:

Graduation Date:

Class Rank, out of

GPA:

Approximate letter grade average:

Plans for college major:

Coaches' contact information:

Comments: