Biographical Form for Returning Student-Athletes

2013-14 Academic Year * Required field

Full Name * First Last
Campus/Off-Campus Phone * - (###) - ### ####
Cell Phone - (###) - ### ####
Personal Email Address
ROSTER INFORMATION
Home Town, State (for Web rosters) *
Sport *
Uniform Number (if applicable)
Position(s)/Event(s) *
Sport 2
Uniform Number, Sport 2
Sport #2 Position(s)/Event(s)
Bats/Throws

*Baseball/Softball only (e.g. R/R, use B for switch-hitter)
Height *

Ft–In
Weight^

^Men ONLY
Class *
HOMETOWN MEDIA INFORMATION
Newspaper #1 *
Newspaper #1 Website
Newspaper #1 Sports Editor Name First Last
Newspaper #1 Sports Editor Email
Newspaper #2
Newspaper #2 Sports Editor Name First Last
Newspaper #2 Website
Newspaper #2 Sports Editor Email
Television #1
Television #1 Website
Television #1 Sports Contact Email
Television #2
Television #2 Website
Television #2 Sports Contact Email
PARENT/GUARDIAN INFORMATION

If this information hasn't changed since you last completed our form, you may skip this section. Otherwise, please provide the information requested.
Full Name of Parent/Guardian #1 First Last
Relationship to you

Father, Mother, Stepmother, etc.
Phone of Parent/Guardian #1 - (###) - ### ####
Email of Parent/Guardian #1
Address of Parent/Guardian #1
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Full Name of Parent/Guardian #2 First Last
Relationship to you

Father, Mother, Stepmother, etc.
Phone of Parent/Guardian #2 - (###) - ### ####
Email of Parent/Guardian #2
Address of Parent/Guardian #2
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

If different from Parent/Guardian #1
Siblings (and ages)
HAVERFORD COLLEGE / CAREER INFORMATION^

^Please note if still 'Undeclared'
Major(s) *
Minor(s)
Planned Career
Athletic Accomplishments / Awards at Haverford^

^If dual-sport athlete, please designate accomplishments/awards separately for ea. sport.
Academic Honors / Extracurricular Activities at Haverford
TRACK & FIELD only - Personal Best Performances**

**If changed from previous academic year.
Event #1
Event #1 Time/Ht/Dis
Event #1 HS/College?; Mo., Yr.
Event #2
Event #2 Time/Ht/Dis
Event #2 HS/College?; Mo., Yr.
Event #3
Event #3 Time/Ht/Dis
Event #3 HS/College?; Mo., Yr.
RELATIVES WHO WERE/ARE ATHLETIC STANDOUTS IN COLLEGE/PROS**

**If applicable, and different from previous year.
Relative's Name First Last
Relative's Relationship to You
Relative's Athletic Accomplishments
Additional Information**

**Please use this field to inform the Sports Information office of any newsworthy items you may have been involved with over the past year (e.g. interesting summer internship, community service, academic research).

Biographical Form for Returning Student-Athletes

Biographical Form for Returning Student-Athletes

ROSTER INFORMATION

HOMETOWN MEDIA INFORMATION

PARENT/GUARDIAN INFORMATION

HAVERFORD COLLEGE / CAREER INFORMATION^

TRACK & FIELD only - Personal Best Performances**

RELATIVES WHO WERE/ARE ATHLETIC STANDOUTS IN COLLEGE/PROS**