Cumberland Athletics Media Questionnaire
This form is for the Athletic Departments records. Please fill out all information in detail.
Email address *
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Preferred Name *
Your answer
Sport playing at Cumberland *
Date of Birth *
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Hometown (City, State, Country) *
Your answer
Height *
Your answer
Weight *
Your answer
Academic Major *
Your answer
Plans after graduation? *
Your answer
Position (If team sport, if individual sport put N/A) *
Your answer
If Baseball or Softball list Batting and Throwing hand
High School and/or Prep School Attended *
Your answer
High School/ Prep Sports Played and Letter Earned *
Your answer
High School/Prep Athletic Honors (All-State, All-Region, etc...; List sports and years honored) *
Your answer
Outstanding High School/Prep Statistics
Your answer
High School/Prep Community Honors (Non-Athletic)
Your answer
Name of Coach you had in High School for the sport you are participating in Cumberland *
Your answer
If Transfer, List Other College(s) attended and the years of attendance
Your answer
Previous School Honors (List Sports and Years Honored)
Your answer
Date Entering Cumberland *
MM
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DD
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YYYY
Expected Graduation Year *
Your answer
Married?
Date Married
MM
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DD
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YYYY
Spouse's Name
Your answer
Father's Full Name *
Your answer
Mother's Full Name *
Your answer
Parents Separated/Divorced *
Please make note if either parent is deceased *
Father's Occupation *
Your answer
Mother's Occupation *
Your answer
Favorite Hobbies *
Your answer
Information on Relatives who were or are athletes (or other celebrities in family- List their name, relation to you, sport, etc., when, where, honors- answer in detail) *
Your answer
PLEASE SIGN YOUR NAME: This content statement authorizes administrative personnel of the Cumberland University Athletic Department to review and disseminate to third parties information from this form and my personal "education records" with such information to be used for compilation of official publications for use by the news media, for purposes of nomination me for honors or scholarships and/or general public relations purposes. *
Your answer
Date Completed this Form *
MM
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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