SID Questionnaire

Email address *

First name *

Last name *

The Viterbo Director of Athletics Communications and Events requests the following information from you as a candidate for a Viterbo University intercollegiate athletics team. By providing any of the information requested, you are thereby giving consent for its use in an appropriate fashion by the Athletic Communications Office and the constituent groups served by the Athletic Communications Office.

Sport(s) Participating in at Viterbo *

Academic Major *

Name Pronunciation *

Year (Freshman/Sophomore/Junior/Senior/Grad) *

Height *

Position?

Bats/Throws - for Baseball & Softball

Date of Birth *

Hometown *

Name of High School (Year Graduated and Location) *

Parent (Guardian) Names *

Other colleges attended and years

Sports Participated in High School (please list # of letters, # of years as a starter, position, and head coaches name) *

Club Experience or Amatuer level Participation (i.e AAU basketball, club soccer, club volleyball) Please include club name, coaches name, and any awards you may have recieved.

High School Activities, Academic Honors (Honor Society, Newspaper, Band, Forensics, Student Council, Academic All-Conference, etc.)

High School Athletic Honors and Statistics (Captain, MVP, All-Conference, All-Area, All-State, School Records, Leading Scorer, statistics, -- Be sure to list the sport and year in school for each item. For All-Conference honors be sure to list whether it was 1st team, 2nd Team, honorable mention, etc. Specify team honors vs. conference honors.) *

Why did you choose to come to Viterbo University? (Quote may be used in signing press release) *

Please indicate any newspapers, radio, or TV stations in your hometown area that should receive any releases about you.

Favorite TV show to watch? *

Favorite Food? *

By typing your name here you understand that you give the Viterbo University Athletic Communications Office permission to use any of the material on this form in publicizing the athletics program at the University or about you in particular as a participant in the athletics program at the University. You also give Viterbo University permission to take head shot photos and action photos of you and post on the Viterbo University website. *

Today's Date *

* required field