If you are a student-athlete at Shippensburg University, we ask that you please fill out the following questionnaire once per year.

A copy of this form will be sent to the sports information office to assist in information for biographies and other information necessary for your sport's media guide.

Upon your digital signature, you are granting permission for the SU sports information office to publicize your athletic efforts to the media. Your personal contact information will never be released.

FIRST NAME: *
MIDDLE NAME: *
LAST NAME: *
PREFERRED NAME FOR ROSTER: *
SU SPORT(S): *
HOMETOWN and STATE: *
HIGH SCHOOL: *
HIGH SCHOOL MASCOT: *
ANY OTHER PREVIOUS COLLEGE/JUCO (LIST YEARS IF SO):
CLUB TEAM:
HOME MAILING ADDRESS: *
CELL PHONE: *
HOME PHONE: *
EMAIL ADDRESS: *
DATE OF BIRTH (mm/dd/yyyy): *
FATHERS NAME (LIST AS YOU WOULD WANT DISPLAYED IN MEDIA GUIDE): *
MOTHERS NAME (LIST AS YOU WOULD WANT DISPLAYED IN MEDIA GUIDE): *
SIBLINGS (LIST ANY ATHLETIC INVOLVEMENT):
Academic Information:
HS GRADUATION YEAR: *
GRADE POINT AVERAGE:
CLASS RANK:
(FRESHMAN/NEWCOMERS ONLY) MAJOR INTERESTED IN AT SHIP:
HS ACADEMIC HONORS:
Athletic Information:
POSITION: *
HEIGHT: *
WEIGHT (MALES ONLY):
HS COACH IN YOUR SPORT: *
CLUB COACH IN YOUR SPORT:
# OF VARSITY LETTERS WON: *
CAREER STATISTICS: *
ALL-CONFERENCE/ATHLETIC HONORS: *
ANY OTHER HS SPORTS PLAYED? IF SO, PLEASE LIST
ANY OTHER FAMILY MEMBERS ATTEND SHIP? IF SO, PLEASE LIST NAMES AND YEARS ATTENDED.
ANY FAMILY MEMBERS WITH ATHLETIC SUCCESS OR CELEBRITY STATUS? IF SO PLEASE LIST NAMES AND INFORMATION.