BERRY COLLEGE STUDENT-ATHLETE INFORMATION FORM
This form is meant to be filled out electronically. Place your cursor after each line and type as much information as
you need to. Don’t worry about how long your answer seems.Please fill this form out as completely as possible.
Please list any awards won at Berry on page two, or a separate sheet if it’s necessary. Much of this information
(academic and athletic awards, especially) is used to publicize you and your teammates on Berry’s athletics web site
and in news releases issued to local, regional and national media outlets. Please be complete and thorough. THERE
IS NO SUCH THING AS TOO MUCH INFORMATION!!! We will NOT print addresses or phone numbers in
publicity information, nor does the athletics department release that information to the media. That information is
requested so members of the sports information staff can get in touch with you if necessary. Please return form to
your team’s coaching staff or to Bob Lowe, Sports Information and Promotions Director, via fax at (706) 2365497, email (robertbrianlowe@gmail.com) or mail to: Bob Lowe, Berry Athletics, PO Box 5015, Mount
Berry, GA 30149-5015.
Your Sport at Berry:
Full Name (first, middle, last):
Name you prefer to be called:
Name as you would like it to appear on website, etc.:
Local Address at Berry:
Local Phone Number at Berry:
Home Address (city, state, country):
Home Phone Number:
Email Address:
Position You Play:
Bats/Throws (baseball/softball only):
Name of High School(s) and location (city, state, country) (if more than one high school, list school you graduated
from first):
Year of High School Graduation:
Date of Birth (mm/dd/yy):
Place of Birth (city, state, country):
Height:
Weight:
Mark Current Year in School at Berry: ____FR
Mark Current Year in Athletic Eligibility: ____FR
Major(s) at Berry (if no major, write “undecided”):
____SO
____SO
____JR
____JR
____SR
____SR
Minor(s) at Berry (if no minor, write “none”):
MOTHER’S first and last name:
FATHER’S first and last name:
In the media guide/web site, how do you want your parents listed? (i.e.,“son/daughter of...” Mother will be listed
first.)
BROTHER name(s) and ages:
SISTER’s name(s) and ages:
Are You Married? (circle one): YES NO
If YES, List Spouse’s Full Name (including maiden name):
If you have children, please list names and ages:
List any relatives who have played collegiate or professional sports (include that person’s name, your relationship to
that person, for whom (team) that person competed and when, i.e., John Doe, brother, football at Michigan, 19992002):
Hometown Newspaper(s):
ATHLETIC HONORS, ETC.
Sports you participated in during HIGH SCHOOL athletic career:
High School ATHLETIC honors and stats (including records set, championships won, All-League or other teams
you were named to, all-star games played in, letters won):
CLUB TEAMS you played for and the years you played for it/them. Also, list any team or individual honors.
Other four-year college(s) attended (also, list years you attended):
Junior/Community College(s) attended (also, list years you attended):
Other College or Junior College ATHLETIC honors and stats (use separate sheet if necessary):
ACADEMIC HONORS, COMMUNITY SERVICE, ETC.
High school academic honors (please include years):
High School activities outside of athletics:
Other four year or junior college academic honors (please include years):
ACADEMIC/ATHLETIC/COMMUNITY AWARDS AT BERRY (very important and please include years):
College activities outside of athletics (please include years, and names of other colleges where you participated in
activity, if applicable):
Community service or volunteer work:
Academic honors (Dean’s List), Honor Societies, etc.:
Athletic Honors at Berry:
I chose Berry College because…
Other schools you considered or recruited by:
Athletic goals at Berry:
Who has been the biggest influence on you as an athlete and why?
My career goal(s) is/are…
Aside from my sport, I’m most talented at…
My nickname(s) is/are (please explain)…
The first time I saw Berry College, I thought…
When I was little, I pretended to be…
My summer jobs have included…
My most memorable experience was…
Before every game, I…
I wear my uniform number because…
My prized possession is…
The best athlete I’ve ever competed against was…
The words that best describe me are…
The teammate that makes me laugh the hardest is…
If I were coach for a day, I would…
The most important thing I’ve learned is…
My favorite athletes are…
My hobbies include…
My favorite singer/musical group is:
My favorite TV show is:
The media should ask me about these three things:
By signing this questionnaire, I hereby release officials of the Berry College athletics department and the sports
information and promotions office to disseminate any information relative to my Berry athletic career to any third
party for general public relations and publicity purposes.
Signature _____________________________________________ Date ______________________