Johnson & Wales University
Department of Athletics
Sports Information Questionnaire

ONLY CURRENT JWU STUDENT ATHLETES SHOULD COMPLETE THIS FORM.

Sport  
Print your name as it should appear on the official roster  
Full Name (First, Middle, Last)  
Position  
Height  
Weight (Men Only)  
Age  
Birthday  
Major  
Year  
Hometown (City, State, Country)  
Hometown Newspaper  
Place of Birth  
Parent's Names  
Siblings (Ages)  
Parent's Occupation(s)  
Permanent Home Address  
Cell Phone  
Email Address  
Address while attending JWU  
Married?  
Spouse's Name  
Name and Birth dates of children, if any  
Why did you choose to attend JWU?  
What other schools recruited you?  
Favorite Hobbies  
Nickname  
Other family members with athletic achievements (list name, relationship, sport or team and years)  
   
HIGH SCHOOL INFORMATION  
High School  
Mascot  
City, State  
Graduation Year  
League/District  
Head Coach of your sport  
Team accomplishments  
Individual accomplishments  
Academic/Extracurricular Activites/Honors  
Notable teammates/classmates  
Other notable alumni of your high school  
   
PREVIOUS COLLEGE INFORMATION  
College Attended  
City, State  
Years Attended  
Mascot  
Notable Teammates/Alumni  
Head Coach  
Team Accomplishments  
Individual Honors  
Best Performances  
   
List any other organizations, honors & coaches (running club, club volleyball, AAU basketball, etc.)  
   
Notable statistics, top games or top marks (please designate if the stats are high school, JC, college or club)  
   
List or describe any community service work you may do  
   
Anything else of note we should know about you?  

This questionnaire will be used by the Johnson & Wales University Sports Information Office for general athletics publicity and to aid in the production of various items. By signing the consent line below, you, the student-athlete, authorize Johnson & Wales University to review and disclose any information from this form for general public and media relations purposes. By signing, you also give Johnson & Wales University the authority to release photos for use by news media and for public viewing.  

FULL NAME      DATE