Incoming Student-Athlete Questionnaire

Please fill out this online questionnaire for the Quinnipiac Sports Information Department as thoroughly and accurate as possible. This information will be used in your biography that appears in Quinnipiac's publications and on Quinnipiac Athletics' Official Website, QuinnipiacBobcats.com.

If you have any questions regarding this questionnaire, please feel free to contact Ken Sweeten, Assistant Athletic Director for Sports Information at kfsweeten@quinnipiac.edu, or Tony Distasio, Assistant Sports Information Director at ardistasio@quinnipiac.edu

Email address *
First name *
Last name *
Address 1 *
Address 2 *
City *
State *
ZIP Code *
What sport will you play at Quinnipiac *
What Academic Year Will You Be In 2013-14 *
What Athletic Year of Eligibility Will You Be In 2013-14 *
If your academic and athletic years are different, how would you like them to appear on the roster? *
What jersey number will you wear at Quinnipiac? *
What position will you play? *
What do you plan on majoring in at Quinnipiac University? *
Height (ex: 5-11, 6-4, etc.) *
Weight (Male Athletes Only)
Hometown, State (ex: Hamden, Conn.; This will appear on your bio and roster) *
Where were you born? *
Cell Phone Number (Should you be requested for an interview, this would likely be the most efficient manner in which to contact you to arrange for the interview) *
Quinnipiac email address *
Alternate email address *
Father's name *
Best phone number to contact your father *
Mother's name *
Best phone number to contact your mother *
Names/ages of brother(s) *
Names/ages of sisters(s) *
Name of any relatives who attended Quinnipiac University and please indicate if they played a sport *
List any relatives that are current or former student-athletes at another institution *
List any relatives that are current or former professional athletes with sport and team *
High school attended and graduation year (This will appear on your bio and roster) *
Sports(s) played and varsity letters won *
Name of high school coach(es) *
Final team records and championships won *
Individual honors (team and academic) *
Local newspapers that covered you in high school (If you have links to stories that you were featured in, please include them. Also, if you have contact information for any reporters who may have covered you prior to Quinnipiac, please include that information as well) *
Please include any interesting information about you. On occasion, a student-athlete may have a story "off the field" that would be a great feature story. By supplying Quinnipiac Sports Information with this content, it helps us in pitching feature ideas to the media. *

By submitting this form you are agreeing to the following:

The Quinnipiac University Sports Information Office keeps a file of your athletic history, which includes this questionnaire, and will make available that information to the media and professional scouts if given permission. This file is open to your inspection at any time. Occasionally, the office may need to make use of additional information collected and/or maintained by the university for public relations purposes. The Family Educational Rights and Privacy Act of 1974 requires that Quinnipiac University receives your consent to disseminate information contained in your student file. Information obtained from your records will assist with compilation of personal information for use in athletic department publications (brochures, programs, press releases, etc.). Your consent also gives the office permission to nominate you for honors pertaining to academic and athletic success. Also, the Buckley Amendment requires us to ask that you agree to this release form. By submitting this form, you give the Quinnipiac Sports Information Office permission to release the information in your file. Please be assured that your file is confidential and the only people who are allowed to view it are the the Assistant Athletic Director for Sports Information and his staff. By submitting this form you authorize the Quinnipiac University Sports Information Office consent to review and disseminate any information in your educational/athletic records to third parties for general public relations purposes

* = required field