Personal Information Form
6/5/2009 12:00:00 AM | Women's Rowing
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WRITE CLEARLY AND FILL OUT ALL INFORMATION Personal Information :
Full Name:____________________________________________________ Nickname:______________________
Social Security #:____________________ Student ID #_______________________ Date of Birth:__________________
Home Address:________________________________________________ City, State, Zip:______________________________
School Address (Dorm/Room #):_______________________________________ Campus PO Box #:_____________________
Room Phone #:__________________________ Cell Number:_______________________ Email:________________________
Parent/Guardian Name:____________________________ Phone Number:_____________________ Email:________________________ Address:______________________________________________________________________
Parent/Guardian Name:____________________________ Phone Number:_____________________ Email:________________________Address:______________________________________________________________________
In case of emergency, contact (name, relationship, phone) __________________________________________________________
Academic Information:
High School Name:_______________________ Phone Number:_______________ Website:____________________________
H.S. Address:
Intended Major/Academic Interests:____________________________________________________________________________
Academic Awards:_________________________________________________________________________________
When did you begin college (month/ year) ex: August 2009:_______________________
Athletic Information:
M / F: _____ Height:______ Weight:______ T-Shirt Size:______
Sports played in High-School / Years Played:_____________________________________________________________________
____________________________________________________________________________________________________________
Medals or Letters Earned/Awards. Include any significant athletic accomplishments____________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Prior Injuries/Medical Concerns: ______________________________________________________________________________
How did you hear about SMC Rowing?__________________________________________________________________________
Do you know anyone on the team? Who?_________________________________________________________________________
Is there anything else we should know about you? _________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________
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