Go Navy
Go Navy
Navy Men's Water Polo Questionnaire

Date Completed:
Personal Information
Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:
Birthdate:
Citizenship:
Father's Name:
Father's Phone Number:
Mother's Name:
Mother's Phone Number:

Academic Information
High School/Prep School:
City, State:
Date of Graduation:
G.P.A, On Scale of:
PSAT Score V: M:
SAT Score V: M:
ACT Score V: M:
Taken Calculus or Pre-Calculus: Yes. No. Grade:
Taken Chemistry: Yes. No. Grade:
Taken Physics: Yes. No. Grade:
Water Polo Information
Position(s):
High School Coach's Name:
High School Coach's Phone Number:
High School Coach's E-mail:
Height:
Weight:
Best Times in Three (3) Swimming Events:
Dominant Hand:

Please list all water polo experience/awards:

What personal goals have you set as a water polo player:

Upon submission of this questionnaire, you will be redirected to the Navy Athletics home page.

This questionnaire is for evaluation purposes by our coaching staff. It is not an application for admission to the Naval Academy. If you desire to become a candidate for admission we recommend that you complete the questionnaire for the admissions office at: www.usna.edu/Admissions/steps.htm