Methodist University - Student-Athlete Profile/Media Form

Student-Athlete Profile/Media Form

This form will be used for a record of biographical information that could be used on the Methodist web site, media guides, award nominations and media publications.

Personal Information
Name: *
Sport: *
Position (if applicable):
Class: *	FRSO JRSR
Major:
Minor/Concentration:
Date of Birth: *
Height: *
Weight (males only):
Hometown *
State *
High School
HS Graduation Yr: *
Parents' Names: *
Hometown Newspaper:
Clubs/Organizations at Methodist:
Contact Information
E-mail address: *
Cell Number:
New Student-Athletes:
High School Athletic Participation (Sports, Years, Varsity Letters, Years as Starter):
High School Athletic Honors:
High School Academic Honors:
High School Head Coaches (Include sport):
High School Statistics:
Are you transferring from another college or university?	YesNo
If so, from which school?
If transferring - College Athletic Participation (Sports, Years)
If transferring - College Athletic Honors
Getting to Know You
Favorite Song:
Favorite Television Show:
Favorite Movie:
Most Admired Athlete:
Favorite Athletic Team:
Dream Job:
I Can't Live Without...: (i.e. family, cell phone, facebook)
Something no one knows about me:
This Past Summer I...
By submitting this form you are agreeing to the following: The Methodist University Office of Athletic Communications keeps a file of your athletic history, which includes this questionnaire, and will make available that information to the media and professional scouts if given permission. This file is open to your inspection at any time. Occasionally, the office may need to make use of additional information collected and/or maintained by the university for public relations purposes. The Family Educational Rights and Privacy Act of 1974 requires that Methodist University receives your consent to disseminate information contained in your student file. Information obtained from your records will assist with compilation of personal information for use in athletic department publications (brochures, programs, press releases, etc.). Your consent also gives the office permission to nominate you for honors pertaining to academic and athletic success. Also, the Buckley Amendment requires us to ask that you agree to this release form. By submitting this form, you give the Methodist Athletic Communications office permission to release the information in your file. Please be assured that your file is confidential and the only people who are allowed to view it are the the SID and his/her staff. By submitting this form you authorize the Methodist University Athletic Communications Office to review and disseminate any information in your educational/athletic records to third parties for general public relations purposes.

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