Sports Information Questionnaire

Email Secondary Email

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Email address *

Form to be completed by incoming Eureka College student-athletes.

Full Name (Last, First Middle) *

Name you prefer

Year of Athletic Eligibility *

Fr. So. Jr. Sr.

Your Sport(s) at Eureka College *

Date of Birth *

City of Birth *

Hometown *

High School attended, location, year of graduation, mascot *

High School conference and class affiliation (i.e. 1A, 5A, etc.) *

Previous colleges attended, location, mascot (Only if participating in athletics)

Height *

Weight (Males only) *

Academic Major *

Father's Name

Mother's Name

Siblings (name and age)

In any media guides or online, how do you want your parents listed? (i.e. son of Jim and Judy Smith) *

Individual or team accomplishments from high school. (All-conference honors, conference or regional championships, won-loss records, personal statistics, etc.) *

Academic Honors (High School or Collegiate)

* required field