Student Athlete Questionnaire

PERSONAL INFORMATION

Email address *

First name *

Last name *

Cell Phone Number *

Hometown (City, State): *

Are there any Hancock graduates in your family? If so, please list.

Interesting facts (leadership programs, community service, participation in organizations, obstacles overcome):

ACADEMIC INFORMATION

Year in sport at AHC *

Freshman Sophomore

High School, City/State *

Previous College, City/State (if applicable)

Intended major at Hancock? *

Academic Honors

ATHLETIC INFORMATION

Primary sport you will compete in at AHC: *

If competing in multiple sports at AHC, please select your second sport:

Height *

Weight

Previous College Team (if applicable)

Club Team (if applicable)

Position/Event

All-Conference honors in career (first team as a junior, etc.):

Other Athletic Honors in Career (all-state, all-area, etc.):

Other Honors (include honors with club or national/junior national team):

Athletic honors in other sports:

Family with significant sport backgrounds (include name, relation to you, sport played, when/where):

SOCIAL MEDIA

If you would like to be tagged on social media, please list your handles (i.e. @JohnDoe - Twitter or @John_Doe - IG). Please note that this is NOT required.

I understand and agree to abide by the AHC Athletics Social Media Policy. *

I agree

By signing the form below, I grant my consent to Allan Hancock College to use my name and my likeness, whether in still or moving pictures, my

photograph and/or other reproduction, including my voice and features, with or without my name for any editorial,

promotion, trade, business or other purposes whatsoever, including testimonial and endorsement advertising. Allan Hancock

College may exercise its rights in any way it sees fit for its productions, for advertising, and for other purposes. I hereby

waive any right to approve the finished photograph, audio recording or video, or any copy that might be used in conjunction

with the finished product. I understand I will receive no compensation for photographs, audio recordings, or videos used

and/or reused.

Your signature (first & last name):

* required field