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Women's Crew Student-Athlete Questionnaire
Creighton Crew Recruiting Form Thank you for your interest in Creighton Crew. Please note that, per NCAA rules, we can only respond to e-mails from seniors and juniors (after September 1) in high school and we will mail responses to freshmen and sophomores within NCAA rules only. You can call Dan Chipps (402) 280-1817, but he cannot return your phone calls unless you are a senior in high school.

Required Fields in Bold

 
Personal Information

First Name:
 
 
Middle Name:
 
Last Name:
 
Street Address:
 
City:
 
State/Province:
 
Zip Code:
 
Country:
 
Phone:
 
Phone Country Code (if outside US/Canada):
 
Best time to reach you:
 
Birthday (mm/dd/yy):
 
Social Security Number:
 
E-mail Address:
 
Have you registered with the NCAA Clearinghouse?
 
Yes
No
Mother's Name:
 
Mother's Address (if different than above):
 
Mother's Home Phone (if different than above):
 
Father's Name:
 
Father's Address (if different than above):
 
Father's Home Phone (if different than above):
 
Friends/Family that have attended Creighton:
 
 
Academic Information

High School:
 
Counselor:
 
School Phone Number:
 
School Phone Country Code (if outside US/Canada):
 
GPA:
 
Class Rank (of how many):
 
Expected Graduation Year:
 
PSAT Math Score:
 
PSAT Verbal Score:
 
SAT Math Score:
 
SAT Verbal Score:
 
SAT II:
 
ACT Score:
 
Have you applied for admission to Creighton?
 
Do you need an application sent to you?
 
List top 5 schools applying to:
 
List top 5 schools applying to:
 
List any academic awards received:
 
 
Athletic Information

Height:
 
Weight:
 
Coach:
 
Coach Phone Number:
 
Coach E-mail:
 
Club Coach (if different than above):
 
Club Coach Phone Number:
 
Club Coach E-mail:
 
When did you start rowing?
 
2000 Meter Erg Score:
 
Other Erg times/distances:
 
Position:
 
Do you have videotape of you rowing?
 
List rowing awards/honors:
 
List camps, regattas attended in the past:
 
What races will you be competing in this summer/fall?
 
What other sports do you play?:
 
List awards received in those other sports:
 
Any other questions or comments?
 
By submitting this form you are giving your consent for a copy of your academic transcript and available test scores to be released to a representative of Creighton University.
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