Sports Info Questionnaire

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***FOR CURRENT CENTENARY ATHLETES ONLY***

If you are a recruit, please go to the sport you are interested in and fill out the  Recruiting Form.

Student Athlete Information

Classification
If you would like to use this for statistical purposes (i.e. Jim instead of James), please indicate. However, this will be your name for all four seasons.
(City, State)
(Required for baseball and softball players. For example, L/L for someone who bats and throws left-handed)
(MM/DD/YYYY)
(City, State)

High School Information

(City, State)
(First and Last). If multiple head coaches, please list sport.
(Example: All-League, all-city, all-county, all-district, all-region, all-state, All-American, all-star games).

Transfer Information

(City,State)
(including month and year started and ended)
(Example: All-league, all-region, All-American, all-star games). Please list conference name

BUCKLEY AMENDMENT

The Buckley Amendment is the common name for the Family Educational Rights and Privacy Act (FERPA) of 1974. This federal law was designed to protect the privacy of a student's educational records, limiting the information that may be disclosed without the student's written permission to "directory information".

"Directory information" includes the student's name, addresses (local, permanent and email), telephone number (local and permanent), date and place of birth, major field of study, concentrations(s) and minor(s), participation in recognition activities (i.e. athletics), height and weight of members of athletic teams, dates of attendance, degrees and awards received, all educational institutions previously attended, academic awards/scholarships, title of master thesis, number of credits (full-time and part-time) for which a student is registered, pictures of student in university publications, press releases and advertisements, class level and anticipated graduation date.

PLEASE NOTE: Students have the right to refuse to permit the release of any of the above information, but that is an issue you must address with the Registrars Office, Administration Building.

In accordance with the Buckley Amendment, I hereby grant permission to the CC SI Office to use info I've provided on the above questionnaire and my my photos during my time at CC for the purposes of publicity.** *
In accordance with the Buckley Amendment, I hereby grant permission to the CC SI Office to release my GPA for the purpose of nominating me for and/or publicizing my selection as the recipient of Academic Awards and/or Recognition *
* required field