[6][5] She attended and swam for Stanford University under Hall of Fame Coach Richard Quick, graduating in 2000 while majoring in human biology and studio art.

[5][6][8][7] At Stanford, Fox was a 21-time All-American in swimming, a nine-time NCAA champion, and set an American record in the 100-yard backstroke in 1999 with a time of 52.47 seconds.

[4][1] Fox competed at the 1995 Pan American Games and was a member of the gold medal-winning 4×200-meter freestyle relay team.

In a significant victory, Fox also won a gold medal in the 1998 Perth, Australia World Championships in the 4x100-meter freestyle relay.

[10] In the 1996 Olympic preliminaries in Atlanta on July 22, 1996, swimming the second leg of the 4x100-meter freestyle relay, Fox swam a 55.03, placing her 7th fastest in the world, and earning her a spot in the 4x100-meter finals, despite her original status as an alternate in the event.