UTD STUDENT-ATHLETE INFO FORM

University of Texas at Dallas
Student-Athlete Profile Information

PUBLICITY/SPORTS INFORMATION FORM FOR STUDENT-ATHLETES

The following information will be used by the UT-Dallas Sports Information
office for player profiles and publicity purposes only. PLEASE BE AS
THOROUGH & DETAILED AS POSSIBLE in providing background and
factual information about your athletic career (and other requested subject
matter.) Your assistance is appreciated.

PRIVACY/SECURITY NOTICE
With few exceptions, you are entitled on your request to be informed about the information UT Dallas collects
about you. Under Sections 552.021 and 552.023 of the Texas Government Code, you are entitled to receive
and review the information. Under Section 559.004 of the Texas Government Code, you are entitled to have
UT Dallas correct information about you that is held by us and that is incorrect.

IMPORTANT! Please be aware that the information you about to submit will be sent via email
in an UNSECURED FORMAT. If you are not comfortable sending any of this information in this manner,
please call me directly at 972-883-6308 and we will send you a hard copy of the questionnaire.
- BRUCE UNRUE, Sports Information Director

PERSONAL INFORMATION
YOUR NAME (First & Last)	IMPORTANT: SPORT(S) you will be playing at UTD
Your Hometown (City/State)	Birthdate (month/day/year)
Name of High School:	Year Graduated HS
Location of High School (City/State)	Current COLLEGE Classification - Eligibility (Fr/So/Jr/Sr/Grad)
If Transfer, Name & Location (city/state) of Last College Attended:	Years Attended Previous School
Current College Major	Ambition/Career Plans
Height Weight (Males only)	Position(s) Played on Team (if known)
CONTACT INFORMATION
Email Address (the one you check most often!):	Direct Phone Number (where can we contact you?):
Local Mailing Address (please include City/State/Zip)
Permanent or Parents' Mailing Address (please include City/State/Zip)
Father's Name	Mother's Name
Parents' Phone Number	Parents' Email Address
Name of Hometown Newspaper	Other Media (that might be interested in you)
YOUR ATHLETIC CAREER
HIGH SCHOOL/PREP INFORMATION
How many years did you letter or play your sport at the varsity level in HS?	What other sports did you play in HS, if any?
List any CHAMPIONSHIPS/PLAYOFFS your team achieved during your HS career (incl. years):
List any INDIVIDUAL AWARDS/ACCOMPLISHMENTS you achieved in HS (incl. years):
List any other individual awards/accomplishments (academic, extracurricular activities, etc.) from HS:
Did you also play your sport at the club or youth league level? (yes/no) Overall, how many years have you been playing your sport competitively?
PREVIOUS COLLEGE EXPERIENCE
IMPORTANT: Please indicate where you were playing collegiately in each of the school years below (Disregard years you were in high school or BEFORE you were playing collegiately):
2006-2007 (Type UTD or Name of Other School):
2005-2006 (Type UTD or Name of Other School):
2004-2005 (Type UTD or Name of Other School):
If you were playing collegiately any year prior to 2004-2005, please list where and explain which year you did NOT play and what were the circumstances:
TEAM ATHLETIC ACCOMPLISHMENTS while at UTD (be as detailed as possible and include years):
INDIVIDUAL ATHLETIC ACCOMPLISHMENTS while at UTD (be as detailed as possible and include years):
(Transfers Only) TEAM or INDIVIDUAL ATHLETIC ACCOMPLISHMENTS at previous school (be as detailed as possible and include years):
ACADEMIC / EXTRACURRICULAR
ACADEMIC AWARDS/ACCOMPLISHMENTS earned in college (be as detailed as possible and include years):
Extracurricular Activities/Community Service Activities you are currently or have been involved with at UTD or with other organizations: