2021 Player Profile Survey

First Name, Nickname & Last Name

First Name and Nickname in First Blank Last Name how it is CIPPed

First Name

Last Name

Phone Number

This phone number will remain private and is only used by the EBOARD incase of urgent game day issues

Email Address

Emergency Contact Information

Name, Relationship, and Phone Number

Are you currently CIPPed for 15s season?

NOTE: If you are not please contact Emma Shimek with reasons why and she can assist you.

Facebook Handle @

Instagram Handle @

Birthday

Zip code

What is your profession?

Where do you work?

Where did you attend college?

What was/is your major/area(s) of study?

Currently enrolled in school?

Yes

What are your strengths? Examples: Finance, writing, social media, marketing, group activities, fundraising, design, volunteering, working out, socializing etc?

Would you be interested in applying these talents to the team?

Yes

Anything interesting you want us to know about yourself?

Survey for 15s Season