Concordia University Wisconsin Athletics




Concordia University Wisconsin Athletic Department Alumni Questionnaire

Personal Information

Email address *
First name
Last name
Address 1
ZIP Code
Marital status (spouse's name)
Name and age of children (if applicable)

CUW Athletic Career Information

Year of graduation
Awards/Honors received
Sports participated in adn years lettered
(Ex. Basketball (4))
Name of head coaches:
Athletic and academic honors:
(Ex. Basketball First Team All-Conference, Honor Roll)
Any championship teams (years and type):
(Ex. Basketball Regional Champions, So.)
Statistics adn any records held:
What is your biggest CUW athletic career highlight:

Miscellaneous Information

CUW academic major:
CUW academic minor (if applicable):
What's happening in your life sicne you graduated/left CUW?:
Why did you visit
Where are you currently employed?
Include city and state
What title do you hold and describe your position?

By submitting this document, I am giving my permission to the Concordia University Sports Information Department to use the information as it seems fit to publicize my career. Most information will be used in stories.

* = required field