Student-Athlete Questionnaire

The form below is for the use of currently enrolled student athletes at Palm Beach Atlantic University. Please use this form to submit information to our sports information department. Note: any information you submit is voluntary and will be kept on file in the Athletic Department.

Personal/Family Information
Full Name (required):
Preferred Name:
E-Mail (required):
Date of Birth:
Athletic Classification:
If you redshirted, what year?
Jersey Number:
Hometown newspaper(s):
(If separated/divorced, list all)
Parents' city of residence:
List siblings:
Extracurricular Activities/
Clubs/Church Groups:
Career Aspirations:
Why did you choose PBA?
Favorite Professional/College Team:
Favorite Athlete:
Favorite Bible Verse:
Other Information about you:
Social Media
Instagram Handle: @
Twitter Handle: @
High School Information
High school:
High school mascot:
Year of Graduation:
Position(s) Played:
Name of coach(es) :
Athletic Honors:
Academic Honors:
Junior College/Previous College
Name of Previous College (if any):
Degree(s) earned:
Athletic Honors:
Academic Honors:
(This field should remain blank.)
By submitting this form, you authorize the Palm Beach Atlantic University Sports Information Department to release your information, in any form, to the media concerning your participation in Palm Beach Atlantic University athletics.
Note: Frivolous use of this form will result in your IP address being logged, possible blockage from further submissions, and other action deemed necessary by the Athletics Department.
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