Sports Information Questionnaire

There are errors with your form submission. Please review and submit again.

Email address *

Form to be completed by incoming Eureka College student-athletes.

Full Name (First Last) *

Name Pronunciation (if necessary)

Preferred Name

Year of Athletic Eligibility *

Fr. So. Jr. Sr.

Your Sport(s) at Eureka College *

Position *

Date of Birth *

City of Birth *

Hometown *

High School attended, location, year of graduation, mascot *

High School conference and class affiliation (i.e. 1A, 5A, etc.) *

Previous colleges attended, location, mascot (Only if participating in athletics)

Height *

Weight (Males only) *

Weight Class (Wrestlers Only)

Academic Major *

Father's Name

Mother's Name

Siblings (name and age)

In any media guides or online, how do you want your parents listed? (i.e. son of Jim and Judy Smith) *

Individual or team accomplishments from high school. (All-conference honors, conference or regional championships, won-loss records, personal statistics, etc.) *

Academic Honors (High School or Collegiate)

* required field