Concordia University Wisconsin Athletics

 

Athletics

 

CUW SPORTS INFORMATION STUDENT-ATHLETE PUBLICITY QUESTIONNAIRE

Personal Information

Email address *
First name *
Last name *
Address 1 *
City *
State *
ZIP Code *
Cell Phone Number: *
Father's Name:
Father's Occupation:
Mother's Name:
Mother's Occupation:
Names and ages of brothers:
Names and ages of sisters:
Position of birth (ex. first born):
Marital status (spouse's name):
Name and age of children (if applicable):
Relative(s) who play(ed) professionally:
(Name, Relationship, Sport, College, Years Played)
Relative(s) who are famous or well-known and their relationship to you:
Any interesting stories of note about yourself:

HIGH SCHOOL INFORMATION

Year of graduation: *
High school nickname/mascot
Full name of high school: *
Name of head coach(es) played for:
Conference high school is a member of: *
Any championship teams (years and type):
(ex. basketball regional champions, sophomore)
Sport(s) participated in and year(s) lettered: *
(ex. basketball (4))
High school statistics (especially senior year) adn records held:
High school athletic and academic honors: (ex. basketball first team all-conference, Honor Roll) *
BE SPECIFIC WHEN LISTING SPORT AND ATHLETIC/ACADEMIC HONOR(S)

MISCELANEOUS INFORMATION

What is your biggest high school career highlight:
Height (ex. 5-11):
Sport(s) participating in at CUW: *
Right/Left handed:
Weight (if applicable):
Baseball/Softball Bats:
Right/Left footed:
CUW academic minor (if applicable):
Shoots (Hockey)
Twitter handle
Baseball/Softball Throws:
CUW academic major: *
School/previous team nickname/mascot:
Any championship teams (year(s) and sport(s)):
(ex. basketball regional champions, sophomore)

JUNIOR TEAM, JUNIOR COLLEGE, TRANSFER OR PREVIOUS TEAM INFORMATION


Full name of previous school/team:
Previous school/team athletics and academic honors: (ex. basketball first team all-conference, Honor Roll)
BE SPECIFIC WHEN LISTING SPORT AND ATHLETIC/ACADEMIC HONOR(S)
What is your biggest career highlight:
Previous school/team statistics (especially senior year):
Name of head coach(es) and sport(s):

By submitting this document, I am giving my permission to the Concordia University Wisconsin Sports Information Department to use the information as it seems fit to publicize my career. Most information will be used in biographies. I also grant the Sports Information Department permission to access and release my grade point average as related to the nomination process for academic awards and honors for myself or my team, and for publicity of such awards.

 
* = required field