Current SHU Student-Athlete Questionnaire for Sports Information Department

Email address (required)

This form is a record kept on file by the Siena Heights University Sports Information Office to be used in the creation of game programs, media guides, athlete bios, and news stories. In an effort to help in the accuracy of the bios, please fill this form out as completely as possible.

You must complete ALL required questions and answer the captcha at the bottom of the form in order for it to submit successfully. Once the form is completed correctly, you will be directed to a confirmation page. If the page reloads back to the form there will either be a notification that you missed one of the required questions or you did not successfully complete the captcha. Please make sure that you correct whichever issue before you click submit again. A confirmation email will be sent to the email address you provide on the form, provided that it was submitted correctly.

If you have any questions or are having difficulty completing this form, please contact SHU Sports Information Director Josh Reilly at jreilly@sienaheights.edu

Your Sport(s) (required)

Full Name (First Last) (required)

Pronunciation of your full name (required)

Example: Corey Graham (Cor-ee Gram)

How would you like your name to be listed in the media guide? (required)

Example: Do you prefer Bobby instead of Robert, Cassie instead of Casandra, etc.

Position or Events(s) (required)

Height (Feet-Inches) (required)

Weight (males only) in pounds

Dominant hand/foot (required)

Bats/Shoots (baseball/softball/lacrosse)

Throws (Baseball/Softball)

Birthplace (City,State) (required)

Birthdate (mm/dd/yyyy) (required)

Academic Major(s) (required)

Academic Minor(s) (required)

Academic Year at SHU (required)

Athletic Year at SHU (required)

Father's Name and College (if applicable) (required)

Mother's Name and College (if applicable) (required)

How would you like your parents listed in the media guide and bios? (required)

Example: John and Lisa Jones, John Jones and Lisa Smith, etc.

Please list any relatives who are or have been involved in college or pro sports?

Please list name, relationship to you, sport, team, and years played (if known)

PERSONAL INFORMATION

Hometown

Twitter handle

Instagram

Tagging Permission

Twitter Instagram

Does anything need fixed on your online biography? If so, what?

HIGH SCHOOL INFORMATION

Name of High School (required)

If more than one, please indicate years at each school.

High School Graduation Year (required)

High School Location (City, State) (required)

High School Academic Honors

Team Accomplishments

Please list all sports you lettered in and include the years and any championships won (conference, district, regional, or state).

Athletic Achievements and Honors

Please be specific. Example: 2016 First Team all-conference, 2015 Second Team all-state by Detroit News, etc.

JUNIOR/TRAVEL/CLUB TEAM INFORMATION

Please list any and all junior/travel/club teams you played on

Please include the full team name and year(s) you participated.

COLLEGE HISTORY (TRANSFERS ONLY)

Previous College Attended

Please include full name of institution, location (City,State), and Years enrolled.

Team Accomplishments

Same as High School Section

Athletic Achievements and Honors

Same as High School Section

PERMISSION FOR THE RELEASE OF INFORMATION

I, the undersigned, authorize Siena Heights University, to release my intercollegiate participatory sports records to the media requesting such information for publication or other use. I further authorize the institution to release such information which may include records earlier forwarded to this institution from high school and other colleges attended by me to the media by the SHU sports information office.

The released information may include the following: actual game statistics, pertinent personal data such as height, weight, position, age, hometown, college class status and past schools attended, comments for use in feature articles and photographs, films, drawings or slides, pertinent medical information in consultation with the head athletic trainer, doctor or coach. Excluded from this information for release are any other academic records other than those of a positive nature such as for promotion with the mass media for conference or national athletic academic honors. Your grade point average may be used to highlight your achievement in print or online. I authorize Siena Heights University to use my image and/or likeness for promotional purposes with my consent.

Your Signature (required)

Full Name and Initials

Today's Date (mm/dd/yyyy) (required)

This release is given at the request of the guidelines imposed by the Education Rights and Privacy Act of 1975.