In an effort to assist the Office of Athletic Communications in generating publicity for Wentworth student-athletes and teams, we ask that you fill this form out to the best of your ability. Many of these fields are required and the form will not be able to be submitted unless any errors have been corrected. Student-athletes will not eligible to practice with their teams until all paperwork, including this form, is on file. Please note that you will have to confirm your submission before submitting it and, if the submission is successful, you will receive an email to the address you provided.
If you answered "No" to the previous question, please skip this section; if you answered "yes," you are required to answer the questions below. Additionally, if you answered "yes" to being a transfer student, you will also need to contact Bill Gorman, Senior Associate Director of Athletics, with your date of birth, school(s) attended on a full-time basis, and which sports (if any) you played.
Please answer this section as accurately as you can. By providing correct newspaper names and email addresses of sports contacts at these newspapers, information on your athletic career will be sent to them. Please do NOT enter the phone and/or fax numbers.
By signing this form, you authorize the Wentworth Institute of Technology Office of Athletic Communications to release information about yourself, and your team, pertaining to athletic and academic awards to hometown, regional and national media outlets for the sole purpose of publicity. You understand that disclosure of information regarding yourself will fall within the guidelines of the Family Educational Right to Privacy Act (FERPA). Furthermore, you authorize the use of your likeness (e.g., photographs) in whatever manner deemed necessary (e.g., website, publications) by the Office of Athletic Communications, Department of Athletics and Institute.