UMass Boston Men's Ice Hockey Recruit Questionnaire

Student-Athlete Information

*First Name: 

*Last Name: 

*Street Address:

*City:

*State:

Zip Code:

*Home Phone:   (XXX-XXX-XXXX)

*Cell Phone:    (XXX-XXX-XXXX)

*Email:

*Date of Birth:

*Parent/Guardian:

Academic Information

*High School:

*City:

*State:

Class Rank:

SAT's Test Scores

*Verbal:

*Math:

*Total: 

*Year of Graduation:  

Athletic Information

*Position:

*Shot (L/R):

*Height:

*Weight:

*Current Team:

*Coach's Name:

*Coach's Phone Number:  (XXX-XXX-XXXX)

*Other Colleges Considering:



*-Required Information