Bridgewater State University Swimming & Diving Current Information First Name: Last Name: Address: City: State: Zip Code: Home Phone: Cell Phone: Email: Male/Female: Date of Birth: Swimming or Diving: High School Information High School: Town/City: Year of Graduation Desired Major at BSU: Concentration: Favorite Food: High School Coach: Coaches E-Mail: On Campus or Off Campus Housing: Are you a Transfer? If Yes, from what institution? No Yes Where you a member of a Intercollegiate Team at that Institution: No Yes N/A Swim/Dive Accomplishments/Awards Individual Awards: Team Accomplishments: Team Captain: No Yes Fill in all that Apply 50 Freestyle 50 Backstroke 1M Diving (6) 100 Freestyle 100 Backstroke 1M Diving (11) 200 Freestyle 200 Backstroke 3M Diving (6) 500 Freestyle 50 Breaststroke 3M Diving (11) 1000 Freestyle 100 Breaststroke 200 Free RLY (Split) 1650 Freestyle 200 Breaststroke 400 Free RLY (Split) 50 Butterfly 100 IM 800 Free RLY (Split) 100 Butterfly 200 IM 200 MDLY RLY 200 Fly 400 IM 400 MDLY RLY If you have any questions please contact Michael Caruso: mcaruso@bridgew.edu or 508-531-2327