GANNON UNIVERSITY WATER POLO

Last Name: First Name:
Address: City, State, Zip:
Home Phone: Cell Phone:
Email Address: Social Security #:
Class Year: Birth Date:
Parents or Guardians Name: High School:
ACT/SAT Scores: High School GPA:
Have you applied to the
Clearing House?		 Have you applied for
admission to Gannon University?
Have you been accepted to
Gannon University?		 What is your intended major?

WATER POLO

High School Coach: Phone:
Club Water Polo Coach: Phone:
Height: Weight:
Position: Goals:
Saves: Assists:
Save Percentage: Steals:
Goals Against: Kick Outs:
Assists: Steals:
Awards:

SWIMMING

Indicate yards or meters

50 Free: 50 Back: 50 Fly: 50 Breast:
100 Free: 100 Back: 100 Fly: 100 Breast:
200 Free: 200 Back: 200 Fly: 200 Breast:
500 Free: 200 IM: 400 IM: 1000 Free:
Awards: