UMass Boston Women's Ice Hockey Recruit Questionnaire

CONTACT INFORMATION

Email address *
First name *
Last name *
Address 1 *
City *
State *
ZIP Code *
Cell Phone Number *
Home Phone:
Mother's Name: *
Mother's Occupation:
Father's Name: *
Father's Occupation: *
Who do you live with (select one): *

ACADEMIC INFORMATION

High School: *
Year of Graduation: *
GPA:
Have you taken the SAT's: *

If yes please list your scores below

Verbal:
Math:
Total:

ATHLETIC INFORMATION

Current Club Team: *
Position: *
Shot/Catch (Left/Right): *
Club Jersey Number: *
Club Coach's Name: *
Club Coach's Phone Number: *
Club Coach's Email: *
School Team: *
School Jersey Number: *
School Coach's Name: *
School Coach's Phone Number *
School Coach's Email: *
Upcoming Games (list day, time, location, and opponent): *

ADDITIONAL INFORMATION

Intended Major(s) (if unsure put undecided): *
Other colleges you are interested in: *
 
* = required field