Hockey Recruiting Questionnaire

Please be as detailed as possible when answering all questions.

Required Fields in Bold

Name

Phone

Present Address

Home Address

Height

Weight

Age

Birth Date

Email Address

High School

Counselor's Name

Office Phone

High School Grade Average

Grade level you will complete this year

SAT scores: Verbal/ Math

ACT Composite Score

If not available, when do you plan to take either test?

Date of graduation

Have you registered with NCAA Clearinghouse?
Yes
No

What is your Clearinghouse I.D. #?

Present Team

Position

Shoot

Yr. on Team

Coach's Name

Home Phone

Work Phone

Last Year's Team

Goals

Assists

Games Played

List your 3 toughest opponents and why.



Please list the top 3 Universities you are presently interested in.



Please list the other Universities that have contacted you.



Father

Mother

Father's Occupation

Mother's Occupation

Brothers and Sisters' Names



Hobbies



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