* denotes required field

Personal Information
Graduation Year *
First Name * Address *
Middle Name Address2
Last Name * City *
Preferred Name State *
NCAA ID# Zip *
Email *
Home Phone * Biometrics
Cell Phone * Height (ft) ft in
Birth Date * or Height (cm)
Facebook URL Weight (lbs. or kilos)
Skype Are you Coxswain or Rower
How did you become interested in rowing at UW? Coxswain Rower
Athletic Information
2k Erg (00:00.0)
5k Erg (00:00.0)
6k Erg (00:00.0)
1 mile run time
How many years
have you rowed?
Other athletic accomplishments

2k Personal Records History
Date (Month/Year) 2k Time (00:00.0)
Date (Month/Year) 2k Time (00:00.0)
Date (Month/Year) 2k Time (00:00.0)
Date (Month/Year) 2k Time (00:00.0)
Date (Month/Year) 2k Time (00:00.0)
Date (Month/Year) 2k Time (00:00.0)
Date (Month/Year) 2k Time (00:00.0)
Date (Month/Year) 2k Time (00:00.0)

Fastest on-water 2000m results in these classes:
8+ (00:00.0)
2- (00:00.0)
1x (00:00.0)

Top 3 on-water results ever:
Top Race 1 Seat?
Top Race 2 Seat?
Top Race 3 Seat?

Scholastic Information
My academic interests are:
School State *
School Type
School Name School Address
School City School ZIP
School Phone School Fax #
Counselor's First name Counselor's Last name
Coach's First Name Coach's Last Name
Coach's Email
Coach's Work Phone Coach's Home Phone
Coach's Cell Phone
ACT SAT Written

Team Information
Club/School Team Name Boathouse Address
Coach Name Boathouse City
Coach Cell Phone Boathouse State
Coach Email Boathouse ZIP

Family Information
Father's Name Father's Occupation
Father's Employer Father's Cell phone #
Father's Email Father's College
Mother's Name Mother's Occupation
Mother's Employer Mother's Cell phone #
Mother's Email Mother's College
Parents' Marital Status I live with
The names and ages of my siblings are:

I authorize the release of my transcript and test scores to WASHINGTON.