READ BEFORE BEGINNING

Information within this document will be used in news releases, brochures, rosters, media guides, programs and on the website. It will also be used for emergency contact information and to determine eligibility in each sport.

There are a number of required fields. If the question does not apply to you, please put N/A in the field so you'll be able to submit the form at the end. If you have any questions while filling out this form, please contact the Sports Information Office at 610-861-1472 or sportsinfo@moravian.edu

* designates required fields

Basic Information

* Last name
* First name
* Middie initial
* Name you prefer to go by (nickname)
* Pronunciation of name - write phonetically   (example - DiGioacchino is de-JOE-a-key-no)
* Exactly how would you like your name listed
on any certificates and awards?
* List ALL sports you anticipate playing this
year at Moravian
* Check current status FR       SO       JR       SR       GRAD
* Date of birth
* Current age
* Month and year you began attending
Moravian College
* Career plans
* GPA at Moravian
* Your major at Moravian
* Your minor at Moravian

Contact Information

* Your cell phone # with area code
* Campus mailbox #
* Campus address   (Room# & Dorm or House# & Street)
* Your school email address   @moravian.edu
* Your personal email address
* Which email would you respond to more quickly School      Personal
* Your complete home mailing address
* At the address above, do you live with Both Parents      Mother      Father      Guardian      Other
* What county do you live in (not country)
* Mother's first name
* Mother's last name
* Mother's email address
* Mother's cell phone number
* Mother's work phone number
* Mother's home phone number
* Father's first name
* Father's last name
* Father's email address
* Father's cell phone number
* Father's work phone number
* Father's home phone number
* If you do not live with both parents, please list the complete home mailing address of the other

If you live with a guardian, please complete the following:
Guardian's first name  
Guardian's last name  
Guardian's cell phone number  
Guardian's work phone number  
Guardian's home phone number  

Eligibility Information

* Last FOUR DIGITS of you social security #
* How many semsters total have you been
enrolled as a full-time student		   (all colleges attended, and including the current one)

What sports have you already participated in at Moravian:
If you are a freshman or transfer, please put N/A in the first box of each line below
* Sport #1       Years Played - FR     SO     JR     SR
* Sport #2       Years Played - FR     SO     JR     SR
* Sport #3       Years Played - FR     SO     JR     SR

Have you attended ANY OTHER colleges besides Moravian?
If yes, complete all sections below. If no, please put N/A in the first box of each line below and go to final section on personal information.
* College #1  
Attended from  
# of full time semesters  
Month/Year to Month/Year
* College #2  
Attended from  
# of full time semesters  
Month/Year to Month/Year
* College #3  
Attended from  
# of full time semesters  
Month/Year to Month/Year

What sports did you play at your previous college?
* Sport #1  
at College  
Played as  

FR     SO     JR     SR
* Sport #2  
at College  
Played as  

FR      SO     JR     SR
* Sport #3  
at College  
Played as  

FR      SO     JR     SR
* Sport #4  
at College  
Played as  

FR      SO     JR     SR

Personal Information

Did someone refer you to Moravian College  Yes    No     If yes, list name and relationship
* Position/Event in each sport
Baseball/Softball only Throws:  left      right         
Bats:  left      right      both
* Height
Weight (men only)
* Your hometown newspaper
* Notable family members (pro athletes,
politicians, celebrities, historical, etc.)		   (list name & relationship)
* Relatives who graduated from Moravian   (list name & relationship with graduation year)
* Have you been on Moravian's Dean's List? Yes     No    Which semesters
* List any academic honors earned at Moravian
* List any clubs & organizations you participate in at Moravian (include offices held)
* List any athletic awards earned at Moravian
* List 3 things that differentiate you from your teammates and other students
* List any interesting, non-athletic hobbies, talents or unusual facts about yourself that could be useful in a story
* Any other persinal tidbits that are interesting about your life (overcoming tragedies, volunteer work, etc)
* Favorite Color
* Favorite Food
* Favorite Restaurant
* Favorite Movie
* Favorite TV Show
* Favorite Musical Artist
* Favorite Song
* Favorite Athlete
* Favorite Team
* Most Prized Possession
* Biggest Fear
* High School
* Do you play on an AAU / summer league team?   (please list name of team & sport)

Freshman Information

High school sport(s) & letters won
High school athletic awards won
Championships won
High school graduation date
High school coaches
Did you set any records in high school

Response Information

FREEDOM OF INFORMATION ACT CLEARANCE
(Failure to sign this form will make it invalid)

I agree to allow the Moravian College Athletics & Sports Information Offices to use the information on this questionnaire for press releases, media guides and biographies to be produced for the Moravian athletics website and for use by the media as well as eligibility information.

If I receive academic awards, I authorize the Moravian Sports Information Office to release my grade point average and major course of study.

* I (Type Full Legal Name) grant permission to Moravian's Athletics & Sports Information Offices to use the information submitted in this form:

* Today's Date:

Ethnicity: This question is optional and confidential. It is used for statistical reporting only.

Please indicate by marking one or more racial/ethnic groups by which you identify yourself
 American Indian or Alaska Native
 Native Hawaiian or Pacific Islander
 Asian/non-Indian
 Asian/Indian subcontinent
 White or Caucasian
 Black or African American
 Hispanic, Mexican or Latino
 Other - please list