Coker College Student-Athlete Sports Information Questionnaire |
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Email address
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PLEASE FILL-IN EVERY BOX & MAKE SURE YOU COMPLETE THE DATE
AT THE BOTTOM BEFORE SUBMITTING.
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STUDENT-ATHLETE CONTACT
INFORMATION
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Full Name:
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Sport:
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Position:
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Year at Coker:
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Name as you would like it to appear in publications:
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| (Ex. Mike instead of Michael) |
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Permanent Address:
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City:
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State:
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Zip Code:
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Home Phone:
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Cell Phone:
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HIGH SCHOOL
INFORMATION
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High School:
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High School Mascot:
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Sports played in high school:
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High School Stats and Athletic Accomplishments:
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| (PLEASE BE SPECIFIC- Please spell out conference and state affiliations. Please seperate sport accomplishments.) |
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COLLEGE OR
JUNIOR COLLEGE INFORMATION-
DOES NOT APPLY TO FRESHMEN
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College or Junior College:
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Sports played:
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Other College Stats and Accomplishments:
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TRAVEL, CLUB
OR AAU TEAM INFORMATION
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Travel Team, Club Team or AAU Team:
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Travel, Club or AAU Stats and Accomplishments:
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ACADEMIC
INFORMATION
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Academic Accomplishments: (Ex. Honor Roll)
*
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Clubs and Organizations:
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PERSONAL
INFORMATION
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Date of Birth:
*
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Place of Birth:
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Major:
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Height:
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Weight: (men only)
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Parent's Names:
*
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| (If you have stepparents, please include) |
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Did your parent(s) play a sport in college? If yes, please list where, when, the sport and any honors:
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Siblings:
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| (Please list ages and school, if they are enrolled in college) |
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If you have siblings in college, do they participate in sports? Also, any professional playing experience with details:
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Has anyone else in your family attended Coker College? If so, when did they graduate and did they play any sports?
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Any questions or for additional information, contact
Christian Stryker, Director of Sports Information at cstryker@coker.edu
By clicking the submit button below, you signify you
authorize the sports information department at Coker College to use
all of the information listed above, as well as photographs and any
other present or future information about me as a student-athlete
at Coker for sports publicity and information purposes. I grant
this authorization as a waiver to my rights under the Education
Ammendment of 1972 to restrict the release of information to
persons outside the University. I also acknowledge personal
information such as phone numbers, addressess and social security
numbers are for office use only.
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DATE:
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| * = required field |
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