Personal Info
Name
Birthday
Social Security Number
Contact Info
Address
City
State	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code
Country
Home Phone
Cell Phone
E-Mail Address *
Family Info
Mother's Name
Mother's E-Mail
Father's Name
Father's E-Mail
Family Who Attend(ed) Georgetown
About Georgetown
Level of interest in Georgetown	Top Choice Top Three Not Sure
Have you received information from Georgetown Admissions?	Yes No
Interested in Georgetown College/School of:	Arts & Sciences Business Foreign Service Nursing & Health Studies Uncertain
Applying for Financial Aid?	Yes No Maybe
Other Colleges & Universities of Interest
Scholastic Info
School Name
City, State
Graduation Month & Year
GPA
GPA Scale (eg. 4.0)
GPA Scale	Weighted Unweighted
Class Rank or Distribution
SAT/PSAT Math
SAT/PSAT Reading
ACT Composite
Academic Interests/Possible Majors
Rowing Info
Height
Weight
Interested in Georgetown:	Lightweight Crew Openweight Crew
Years Experience
Experience	Sweep Scull Cox
Team(s)
Coach
Coach's Phone
Coach's E-Mail
What Boats/Seats Did you Row Last Season?
2k Erg Score (Time & Date)
Other Erg Scores (Distance, Time & Date)
Notable (include sports in addition to rowing)