Eastern Michigan Athletics
Coaches/Staff Information Form
The biographical information on this form is your permanent record for the athletic media relations office. Please complete the form thoroughly and accurately as information from this sheet will be used in media guides and on the web site. Supplemental information (resume, newspaper articles, etc.) may be sent in to provide background information. Click Here for a PDF version of the bio sheet.
NOTE: This form comes under the Family Educational Rights and Privacy Act of 1974.
Principle Specification of Records: This consent statement authorizes administrative personnel of the Eastern Michigan University Department of Athletics and its Athletic Media Relations Office to review and disseminate to third parties, information in my personal education records, including information contained on this release form and any other education information, bodily injury/health data, or family tragedy facts collected and/or maintained by this institution for public relations purposes.
Purpose(s) of Disclosure: Information obtained from these records will assist in compilation of personal information for use in official athletic department/athletic media relations publications for dissemination to legitimate news media, for purposes of nominating me for athletics awards and for general public relations purposes. Athletics reserves the right to submit and publish a student-athlete's grade-point average for institutional, conference or NCAA academic recognition and awards.
Party or Class of Parties to Whom Disclosure May Be Released: By signing this consent statement, I authorize administrative personnel of the Eastern Michigan University Department of Athletics and its Athletic Media Relations Office to review and disseminate any information per Principal Specification of Records to third parties for general public relations purposes.
NOTE: This form comes under the Family Educational Rights and Privacy Act of 1974.
Principle Specification of Records: This consent statement authorizes administrative personnel of the Eastern Michigan University Department of Athletics and its Athletic Media Relations Office to review and disseminate to third parties, information in my personal education records, including information contained on this release form and any other education information, bodily injury/health data, or family tragedy facts collected and/or maintained by this institution for public relations purposes.
Purpose(s) of Disclosure: Information obtained from these records will assist in compilation of personal information for use in official athletic department/athletic media relations publications for dissemination to legitimate news media, for purposes of nominating me for athletics awards and for general public relations purposes. Athletics reserves the right to submit and publish a student-athlete's grade-point average for institutional, conference or NCAA academic recognition and awards.
Party or Class of Parties to Whom Disclosure May Be Released: By signing this consent statement, I authorize administrative personnel of the Eastern Michigan University Department of Athletics and its Athletic Media Relations Office to review and disseminate any information per Principal Specification of Records to third parties for general public relations purposes.