Sports Information Questionnaire

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The Sports Information Department compiles all statistical information and coordinates the promotion of Bethany College Athletes with the media on a local, national, and international level. Please fill out this form thoroughly so the SID Office may provide the most accurate information.

Email address *

SPORT INFORMATION

Primary Sport *

Other sports you plan to play at Bethany

PERSONAL INFORMATION

Full First Name *

Middle Name

Last Name *

Preferred first name EXACTLY as it should appear on roster/statistics *

Hometown *

State

Country (If not United States)

Date of Birth *

Cell Phone Number (for Bethany SID to call you only) *

Twitter Handle @

Instagram Handle

Father's Full Name

Mother's Full Name

Number of Brothers *

Brother's Name(s)

Number of Sisters *

Sister's Name(s)

Do you have any relatives who have played or coached at Bethany? *

Yes No

If yes, please list their relation to you, their full name, what sports and what years they played at Bethany

Academic Year *

Freshman Sophomore Junior Senior Graduate Student

Major(s) at Bethany *

Minor(s) at Bethany

ATHLETIC INFORMATION

Year of Eligibility *

Freshman Sophomore Junior Senior

Height *

Weight (MALES ONLY)

Primary Position/Event (if applicable)

Secondary Position/Event (if applicable)

Bat (Baseball/Softball Only)

Left Right Switch

Throw (Baseball/Softball Only)

Left Right

HIGH SCHOOL INFORMATION

Name of High School / Secondary School *

High School Graduation Year *

High School Coach's Full Name

Sports Played in High School

Athletic Honors (include letters earned, all-conference teams, team championships, etc.)

Academic Honors, Clubs, Activities (be specific)

PREVIOUS COLLEGE INFORMATION

Are you a transfer student? *

Yes No

Name of Previous College

Years you attended previous college

Season's Played at Previous College

Previous College's Head Coach's Full Name

Athletic Honors (include all-conference, team championships, etc.)

Academic Honors, Clubs, Activities (be specific)

MEDIA INFORMATION

Hometown Newspaper(s)

City and State of Hometown Newspaper(s)

PERMISSION FOR RELEASE OF INFORMATION

By entering my name in the space below, I authorize permission to Bethany College to release my intercollegiate participatory sports records to the media requesting such information for publication or other use. I further authorize this institution to release such information which may include records earlier forwarded to this institution from high schools/colleges/junior colleges attended by me, to the media by the Bethany College Sports Information Department. The released information may include any of the following: actual game participation statistics; pertinent personal data such as height, weight, position, age, hometown, college class status, and past schools attended; athlete's comments and image for use in personal feature articles and photographs, videos, drawings or slides.

Electronic Signature (FIRST & LAST NAME) *

TODAY'S DATE (xx/xx/xxxx) *

* required field