Harding University Athletics - Sports Information Questionnaire

Sports Information Questionnaire

***FOR CURRENT HARDING PLAYERS ONLY***

Please fill out as much as possible.

*FOR CURRENT HARDING PLAYERS ONLY* *FOR CURRENT HARDING PLAYERS ONLY* If you are a recruit go to the sport you are interested in and fill out the prospective Student Athlete Questionnaire.
Sport You Play at Harding *
Eligibility Classification *
Name *
Prefer to be called
Hometown (City, State) *
Height *
Weight (men only)
Birthdate *
Place of Birth *
Email Address *
Cell Phone Number
Parents *
Brothers Names
Sisters Names
High School
Location of High School (City, State)
Year Graduated
High School Coach's Name (First and Last)
Major at Harding *
Hometown Newspaper *
High School Athletics Information
Main Sport Played in High School
Position
Highlights of high school career (Example: All-league, all-city, all-county, all-district, all-region, all-state, All-American, all-star games). Please list conference name and district/region/state number and classification.
Were you a member of a championship team? If so, please list sport and championship(s) won.
Academic awards or honors received
Transfer Information
Institution Attended (City and State)
Dates of Attendance (including month and year started and ended)
Sports participated in and number of years
Highlights of previous career (Example: All-league, all-region, All-American, all-star games). Please list conference name.
BUCKLEY AMENDMENT The Buckley Amendment is the common name for the Family Educational Rights and Privacy Act (FERPA) of 1974. This federal law was designed to protect the privacy of a student's educational records, limiting the information that may be disclosed without the student's written permission to "directory information." "Directory information" includes the student's name, addresses (local, permanent and e-mail), telephone number (local and permanent), date and place of birth, major field of study, concentration(s) and minor(s), participation in recognition activities (i.e. athletics), height and weight of members of athletic teams, dates of attendance, degrees and awards received, all educational institutions previously attended, academic awards/scholarships, title of master thesis, number of credits (full-time and part-time) for which a student is registered, pictures of student in university publications, press releases and advertisements, class level and anticipated graduation date. PLEASE NOTE: Students have the right to refuse to permit the release of any of the above information, but that is an issue you must address with the Office of Academic Records, Room 107, Old Main Building.
I agree to allow the Harding University Sports Information Office to release basic information to media outlets concerning participation status in areas such as medical, eligibility and disciplinary (university/team rules). *	YesNo
In accordance with the Buckley Amendment, I hereby grant permission to the Harding University Sports Information Office to use information I have provided on the above questionnaire during the 2009-10 academic year for the purposes of publicity *	YesNo
In accordance with the Buckley Amendment, I hereby grant permission to the Harding University Sports Information Office to release my grade point average (GPA) for the purpose of nominating me for and/or publicizing my selection as the recipient of ESPN The Magazine Academic All-District, ESPN The Magazine Academic All-America, Academic All-GSC. *	YesNo
Student-Athlete's Full Name (This shall serve as your written permission to release the above mentioned information) *

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