SVSU Athletic Communications Questionnaire

This form is a record kept on file by the Saginaw Valley State University Athletic Communications office to be used in the creation of game programs, athlete bios, and news stories. The following information will also be used to promote all SVSU Cardinal sports teams and athletes on social media sites and the athletic website, svsucardinals.com.

In an effort to help in the accuracy of the bios, please fill this form out as completely as possible.

You must complete ALL required questions for it to submit successfully. Once the form is completed, you will be directed to a confirmation page. If the page reloads back to the form, there will be a notification that you missed one of the required questions. If you have no answer to a question, just fill in "N/A" to submit the form successfully. A confirmation email will be sent to the email address you provide on the form, provided that it was submitted correctly.

If you have any questions or are having difficulty completing this form, please contact Assistant Athletic Director for Communications Corey Graham at cdgraham@svsu.edu.

Email address *

First name *

Last name *

What SVSU sport(s) do you participate? *

Position or Event(s) *

Height (Feet-Inches) *

Example: 6-1

Weight (Men ONLY)

In pounds. EX: 210

Dominant hand/foot

Bats/Shoots

Baseball/Softball/Lacrosse

Throws

Baseball/Softball

PERSONAL INFORMATION

Preferred Name *

Example: Bob instead of Robert, Cassie instead of Cassandra

Pronunciation of your full name *

Example: Marcus Ruffalo (Mark-us Ruff-uh-low)

Birthplace (City) *

Birthplace (State) *

If you were born outside of the United States of America, put Birth country instead of state.

Hometown *

Put the city and state you want to be listed from on the website roster, bio, game program, etc.

Birthdate *

(Month, Day, Year) Example: 12/5/2002

Academic Major(s) *

Academic Minor(s)

Academic Year at SVSU *

Athletic Year at SVSU *

Father's Name and College

If applicable

Mother's Name and college

If applicable

How would you like your parents listed in your bio? *

Examples: John and Lisa Jones, John Jones and Lisa Smith, etc. If you do not want your parents names on your bio, please put "Do Not Include" as your answer to this question.

Please list any relatives who are or have been involved in college or pro sports?

List first name, last name, relationship to you, sport, team, and years played (if known)

Social Media Tagging Permission

I understand that by clicking accept below I give the SVSU Athletic Communications Department permission to tag the accounts listed below on the SVSU Athletics social media pages.

Accept

Twitter

Instagram

Tik Tok

HIGH SCHOOL INFORMATION

Name of High School(s) *

List all schools attended from grades 9-12

High School Location *

City, State

Graduation Year *

Academic Honors *

List all and years received

Team Accomplishments *

List all sports you lettered in and include years to any championships won (conference, district, regional, state, etc.)

Individual Athletic Achievements and Honors *

List all athletic achievements such as records, conference awards, state awards, or team awards received. Examples: 2019 1st-Team All-Conference, Team Captain (2020, 2021), 2021 All-State Honorable Mention, 2022 Conference Player of the Year

Junior/Travel/Club Team participation

List all travel/club teams you played for including full team name and year(s) you participated.

COLLEGE HISTORY (TRANSFERS ONLY)

Previous College Attended

Include full name of Institution, location (City, State), and Years Enrolled

Team Accomplishments

Same as High School Section

Athletic Achievements and Honors

Same as High School Section

PERMISSION FOR THE RELEASE OF INFORMATION

I, the undersigned, authorize Saginaw Valley State University to release my intercollegiate participatory sports records to the media requesting such information for publication or other use. I further authorize the institution to release such information, which may include records earlier forwarded to this institution from high school and other colleges attended by me to the media by the SVSU Athletic Communications office.

The released information may include the following: actual game statistics, pertinent personal data such as height, weight, position, age, hometown, college class status, and past schools attended as well as comments for use in feature articles and photographs, films, drawings or slides, pertinent medical information in consultation with the head athletic trainer, doctor or coach. Excluded from this information for release are any other academic records other than those of a positive nature, such as for promotion with the mass media for conference or national athletic academic honors. Your grade point average may be used to highlight your achievement in print or online. I authorize Saginaw Valley State University to use my image and/or likeness for promotional purposes.

Your Signature *

Today's Date *

Date Picker

This release is given at the request of the guidelines imposed by the Education Rights and Privacy Act of 1975.

* required field