Prospective Student-athlete Questionnaire (Men's Heavyweight Rowing)
Please fill out the following questionnaire thoroughly and the Columbia Heavyweight coaching staff will be able to send you information about the University and rowing program.

Required Fields in Bold

Personal Information

Last Name:
First name:
E-mail Address:
Home Phone:
Mobile/Cell Phone:
Date of Birth (MM/DD/YYYY):
Year of Graduation:
Home Address:
Home Address (cont.):
ZIP/Postal Code
Social Security Number:
Father's Name:
Mother's Name:
Please list names and ages of your brothers and/or sisters (if any):
Are you a U.S. Citizen?
Ethnicity (optional):
Academic Information

High School:
School Address:
School Address (cont.)
ZIP/Postal Code:
Guidance Counselor Name:
Guidance Counselor Phone Number:
Grade Point Average (GPA):
Class Rank:
SAT Score (Verbal/Math/Writing):
ACT Score:
Best SAT II Test (Subject/Score):
Second-Best SAT II Test (Subject/Score):
Areas of academic interest:
Columbia is
Other schools in which you are interested:
Will you be applying for financial aid?
Are you considering applying early?
Athletics Information

What school/club do you row for?
Coach's Name:
Coach's Phone Number:
Coach's email:
2K Ergometer Score
6K Ergometer Score:
I have spent the most time as a:
Other Sports and Athletics Experience:
Rowing highlights:
Upcoming races:
Please use the space below for comments and questions:
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