Longwood Athletics - 2010-11 Student-Athlete Profile Form (Current LU Student-Athletes Only)

2010-11 Student-Athlete Profile Form (Current LU Student-Athletes Only)

All 2010-11 Longwood University Student-Athletes can now submit their respective personal profile information via this form. Please take your time to thoroughly complete this form accurately.

Full Name *
Sport *
Date of Birth (not for publication) *
Nickname *
Height *
Weight (males only)
Longwood E-Mail Address *
Year at Longwood (Fr., So., Jr., Sr.) *
Name of Father or Guardian/E-Mail Address *
Name of Mother or Guardian/E-Mail Address *
Permanent Home Address (Include City-Zip) *
Campus/Local Address *
Home Phone Number *
Campus/Cell Phone Number *
Academic Major(s)/Minor(s) *
Name of High School/Location *
Other College(s) Attended/Location(s) *
Name of Hometown Newspaper/Location *
List High School Sports Participated In (Sports, Years Played) *
List High School Honors (Sport, Year, Honors, Stats) *
List Special Athletic Achievements (Championships, All-Star Games) *
Why Longwood - Reason for Choosing Lancers *
Relatives Who Participated In Athletics At Longwood (Name, Relation, Sport) *
Relatives Who Participated In Intercollegiate Athletics (Name, Relation, Sport, College) *
Relatives Who Have Achieved Notable Success In Amateur/Professional Athletics (Name, Relation, Sport, Team) *
Hobbies, Interests, Volunteering - Anything Unique About You *
Academic Achievements, Honors, Scholarships Received (Longwood, High School) *
What Did You Do During Summer 2010 (Job, Internship, Travel) *
Plans Following Longwood Graduation *
Statement of Consent I acknowledge that all information on this form is true, and I give my consent that any information on this form may be released to the media and/or general public along with photographs and any information concerning my athletic achievements and/or academic successes, including my GPA when appropriate, and injuries; in accordance with school and NCAA rules and regulations while I am a student-athlete at Longwood University. *	Yes

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