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2020-21 Worcester State Women's Basketball SID Form
This form is used to collect biographical information for WSULancers.com, emergency contact information, and NCAA-required demographic information. Please answer these questions in as much detail as possible.
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Email
*
Your email
Full Name (First & Last)
*
Your answer
Preferred Name on Roster
This is how your name will appear in ALL Worcester State Athletics publications
Your answer
Academic Class
*
Based on number of credits earned
Freshman
Sophomore
Junior
Senior
Graduate Student
Athletic Class
*
Based on years of eligibility remaining
Freshman
Sophomore
Junior
Senior
Fifth Year
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth (City & State)
*
Your answer
Preferred Pronouns
*
He, Him, His
She, Her, Hers
Other:
Cell Phone Number
*
Your answer
Worcester State Email
*
Your answer
Race/Ethnicity
*
For NCAA demographic research purposes only
White
Black
Hispanic/Latino
Two or more races
Asian/Native Hawaiian
American Indian/Alaska Native
Unknown/Other
Prefer not to answer
Height
*
Your answer
Hometown
*
Your answer
High School Attended
*
Your answer
High School Year of Graduation
*
Your answer
High School Location (City & State)
*
Your answer
Major(s)
*
If applicable, please also include concentration(s)
Your answer
Minor (if applicable)
Your answer
Student ID Number
*
Your answer
Did you transfer into Worcester State?
*
Yes
No
If yes, previous college/university, number of years attended, and sport(s) played, if applicable. If no, please put N/A.
*
Your answer
PERMANENT ADDRESS
Street
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
COLLEGE ADDRESS
If you live on campus, just put down the residence hall and room number. You do not need to put the rest of the campus address. If your college address is same as your permanent address, you may leave blank.
Residence Hall and Room Number or Street
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
EMERGENCY CONTACT INFORMATION
In the event of emergency, we will notify:
Emergency Contact Name
*
Your answer
Relationship to Student-Athlete
*
Your answer
Phone Number(s)
*
Please list at least one. If listing more than one, list in order you would like us to call.
Your answer
Email
*
Your answer
Additional information that may be needed in case of emergency
Your answer
ATHLETIC/PERSONAL INFORMATION
This section will be primarily used to build your personal biography on WSULancers.com. If you are a returning student-athlete and are satisfied with your current bio, you may skip this section, but you are strongly encouraged to complete to form to maintain accuracy. The more detail you provide on these questions, the stronger your bio will look on the website.
Position
*
Check at least one, but no more than two. If you play more than two, check your two primary positions.
Guard
Forward
Center
Required
Hometown Newspaper(s)
*
Your answer
Sport(s) Played in High School & Number of Years Played Varsity
Your answer
High School Awards, Honors, and Major Accomplishments
All-Conference, state championships, school records, etc. - PLEASE INCLUDE YEAR ACHIEVED FOR EACH HONOR
Your answer
High School Mascot
Bears, Wildcats, etc. - NOT Wally the Green Monster
Your answer
Parent(s) Name(s)
Your answer
Names and Ages of Siblings
Your answer
Are any of your family members current or former collegiate student-athletes?
Extended or immediate family - please indicate what sport they play(ed) and institution.
Your answer
Why did you choose Worcester State?
Your answer
Favorite spot on campus?
Your answer
Any fun facts that might boost your website bio?
Your answer
SPECIAL FEATURES
Newspapers are always looking for interesting stories about local student-athletes. That information is not easy to come by. If there is anything athletically or outside of the realm of athletics that you think people would find interesting about you please list it here. It could be a hobby, an experience, someone you are related to, etc.
Your answer
NOTICE
The Worcester State University Athletic Department wishes to inform you that there is an inherent risk in participating in any varsity sport. This notice is to make sure you are aware and understand the risks involved. All athletes must have their own insurance coverage.
Health Insurance Company
*
Your answer
I have read and understand the above notice and information.
Full Name
*
Your answer
Date
*
MM
/
DD
/
YYYY
If you have any questions or difficulties completing this form, please contact Curtis Fraser at
cfraser2@worcester.edu
.
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