Simmons College

Full Name*

Email

Street*

City*

State/Province*

Zip*

Country

Phone*

Date of Birth

Height

Weight

Best time to contact you

High school*

Year of Graduation*

School Address*

Have you applied for:

Admission to Simmons

Financial Aid

SAT Scores*

ACT Scores

Intended Major:

Please list other colleges/universities you are considering:

Coach name

Coach phone

Years of competitive swimming

Best Events & Times:

Freestyle:

50

100

200

500

1000

1650

Backstroke:

50

100

200

Individual Medley:

100

200

400

Breaststroke:

50

100

200

Butterfly:

50

100

200

Diving:

1 Meter - 6 Dives

3 Meter - 6 Dives

3 Meter - 11 Dives

3 Meter - 10 Dives