UMass Boston Women's Ice Hockey Recruit Questionnaire

Student-Athlete Information

*First Name: 

*Last Name: 

*Date of Birth:

*Street Address:

*City:

*State:

Zip Code:

*Home Phone:   (XXX-XXX-XXXX)

Cell Phone:   (XXX-XXX-XXXX)

*Email:  

*Mother's Name:

Mother's Occupation:

*Father's Name:

Father's Occupation:

*Who do you live with (select one): Both Mother Father Other

Academic Information

*High School:

*Year of Graduation:  

GPA: 

*Have you taken the SAT's: Yes No

If yes please list your scores below

Verbal: 

Math: 

Total:    
 

Athletic Information

*Current Club Team:

*Position: Forward Defense Goalie

*Shot/Catch (Left/Right):

*Club Jersey Number:

*Club Coach's Name:

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

*Club Coach's Email:  (coach@email.com)  

*School Team:

*School Jersey Number:

*School Coach's Name:

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

*School Coach's Email:  (coach@email.com)

*Upcoming Games (list day, time, location, and opponent):
 


Additional Information

*Intended Major (if unsure put undecided):

*Other colleges you are interested in:


*-Required Information