Men's Hockey Recruiting Questionnaire

Personal Information

First Name*

Last Name*

Address*

Country

Street

City

Region

Postal Code

Email Address*

Mobile Phone Number*

Planned Entry As a*

Planned Entry Term*

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Parent or Guardian Information
Relationship Parent or Guardian First Name Parent or Guardian Last Name Parent or Guardian Email Address Parent or Guardian Cell Phone Number

Add additional parent or guardian

Academic Information

Program of Interest

High School

High School CEEB Code
CEEB Code will fill automatically when you select your Current School Name above.

GPA

Class Rank

Class Size

Graduation Month and Year

ACT Score

SAT Score

Athletic Information

What other varsity sport(s) are you involved in?

Height

Weight

Best or preferred position:

Alternate position

Shoot (Right or Left)

High school or junior hockey information

Name of team

Year

Number of games

Goals

Assists

Total points

Coach

Coach's Phone Number

Coach's Email

Goaltender statistics (if applicable)

Year

Games

Saves

Goals Against

Honors and awards received

Comments, questions, or special requests