Men's Swimming & Diving

Prospective Student Athlete Information Form

Transfer Students

If you are considering transferring to Penn State Altoona please refer to the following directions.

According to NCAA by-law 13.1.1.2 written permission from the previous institution before any member of our athletics department or interested parties may discuss transferring with you. If you are currently at a NCAA Division I, II, NAIA or any other four year degree granting institution you must have a written permission to contact (letter or form) sent to the Penn State Altoona Intercollegiate Athletics Compliance Office in 101B Adler Athletic Complex, 3000 Ivyside Park, Altoona PA 16601-3760 or faxed to 814.949.5412 or emailed to rzb3@psu.edu. If you are considering transferring from a NCAA Division III institution you may use the Division III self release form found at http://web1.ncaa.org/web_files/AMA/compliance_forms/DIII/DIII%20Permission%20to%20Contact.pdf (THIS IS ONLY ACCEPTABLE FOR Division III TO Division III CONTACT) or you may have the written release sent from your athletics department. If you have question about this procedure you may contact Brent Baird, Compliance Officer at rzb3@psu.edu or at 814-949-5556

Transfer Information

Institution:
Athletics Participation:	Yes No

General Information

Name:	First: Middle: Last:
PSU ID#
Address:
City/State/Zip:
Home Phone:		Cell Phone:
Email:
Father's Name:		Mother's Name:
Date of Birth:

ACADEMIC INFORMATION

High School:		Year of Graduation:
GPA:
SAT Verbal:		SAT Math:
SAT Written:		ACT:

Are you a college transfer student?	Yes No
If so, from what school?
Planned major/Area of study:
Planned Minor:
Non-athletic activities/Clubs:
My current status with Penn State Altoona is...	I currently have not sent in or completed an online application.
	I have completed and returned an application.
	I have received an offer of admission from Penn State Altoona.
	I have paid my acceptance fees and will be attending Penn State Altoona.
	Other
What other colleges are you interested in?

Athletic Information

Number of years swimming:
Training yardage average per week in season:
High School Coach:
Phone:

Club/ YMCA Team:
Number of years training year around:
Club/ YMCA Coach:
Phone:

Event:		Best time in 25-yard pool:
Event:		Best time in 25-yard pool:
Event:		Best time in 25-yard pool:
Event:		Best time in 25-yard pool:

Highest Six Dive List on 1- Meter:
1
2
3
4
5
6
Total:

Do you have any 3 Meter experience?	Yes No
Other Sports played in high school:
Other Sports you plan to play in college:
Other colleges you are applying to:

Security Code: 67265