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Binghamton University Sports Information
ATHLETIC QUESTIONNAIRE


This form will serve as a permanent record in the files of the Binghamton University Sports Information Office. Please give complete and accurate responses to all of the requested information. This information will be used on our website as well as other publications, please be as detailed as possible.
Fill the form out and click Submit button.

Use the "tab" key to move from field to field in this form. Do not use the "enter" key as it will automatically submit the form incomplete. Please pay special attention to the questions about your high school statistics and awards. We need this information to use in your biography on the website and in media guides. The more information the better so be thorough please.

Thank you.
 
    Sport:


    First Name:


    Last Name:


    Middle Initial:


    Pronunciation:


    Name:
    (for reference in programs, brochures, etc. i.e. Jonathan-Jon)


    Class:


    Date of Birth:


    Position/Event:


    Height:


    Weight:


    Left/Right Handed:


    Home Address:

    Street:


    City:


    State:


    Zip Code:


    Home Phone:


    High School:


    Graduation Year:


    Junior or Other College:


    Current University Address:

    Street:


    City:


    State:


    Zip Code:


    E-mail address:


    Phone:


    Parents'/Guardians' Names:


    Address - if different than yours


    Parents' e-mail address


    Father's College


    Occupation


    Mother's College


    Occupation


    Names of Brothers/Sisters (Ages)


    Names of Brothers/Sisters (Ages)


    Names of Brothers/Sisters (Ages)


    Names of Brothers/Sisters (Ages)


    List full names of any relatives who participated in college or pro sports and honors they received (Relation in parenthesis)


    List full names of any relatives who participated in college or pro sports and honors they received (Relation in parenthesis)


    List full names of any relatives who participated in college or pro sports and honors they received (Relation in parenthesis)


    List of relatives who attended Binghamton (Relation in parenthesis)


    List of relatives who attended Binghamton (Relation in parenthesis)


    List of relatives who attended Binghamton (Relation in parenthesis)


    List the daily and weekly paper in your hometown and address
    (only include papers that may have covered your high school, not large circulation like Daily News, New York Times, etc)



    College Major/Intended Major


    List any academic recognition/honors (High school and/or college)


    Why did you choose Binghamton?


    List any hobbies/special talents


    SPORTS BACKGROUND
    Please list sports played in high school, junior college, etc; your coaches; letters won; position or event; any honors received (i.e. all-league, captain, individual/team championships, etc); and best performances (i.e. placing in league, district or state competition, best times or statistics). This information will be used on our website as well as other publications, please be as detailed as possible.

    Primary Sport:


    Position/Event:


    High School:


    Coach's Name:


    Coach's Phone:


    Coach's Email:


    Letters won and years on team:


    Honors/Best Individual Accomplishments:


    Key Statistics and Individual Records (Please include season and career totals if available):


    Honors/Best Team Performances:


    Team Record:


    Other Sports Played in High School:


    Individual Honors Received:


    Team Record/Performance:


    Signature:


    Date:


    Additional Comments
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