Genesee Community College Athletics

Swimming Recruit Questionnaire

There are errors with your form submission. Please review and submit again.

General Information

ZIP Code *

Email address *

City *

Address 1 *

Last name *

State *

First name *

Contact Number *

Cell Phone Number

Date of Birth *

mm/dd/yy

Parent(s) Name

Academic Information

High School Name

High School City

High School State

H.S. Graduation Year

Are you a transfer student?

Yes No

If yes list institutions

Academic Honors

Athletic Information

Event(s) *

Diving?

Time

Height

Weight

Athletic Honors

* required field