| Personal Information |
| *First name: |
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| *Last name: |
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| *Address: |
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| *City: |
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| *State/province: |
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| Country: |
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| *ZIP code: |
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| *E-mail address: |
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| *Phone number: |
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| Parent(s) or guardian(s) names: |
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Academic Information
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| Major: |
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| High school: |
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| City: |
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| State/province: |
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| ZIP code: |
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| Phone number: |
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| School counselor: |
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| ACT/SAT: |
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| GPA: |
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| Class rank: |
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| *Graduation year: |
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| Other colleges attended (if any): |
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Have you done any post-high school coursework?
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Yes No
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Athletic Information
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| What other varsity sport(s) are you involved in? |
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| Height: |
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| Weight: |
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Best or preferred position:
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Alternate position:
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Shoot:
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Right Left |
| High school or junior hockey information |
| Name of team: |
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| Year: |
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| Number of games: |
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| Goals: |
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| Assists: |
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| Total points: |
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Coach:
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Coach's phone number:
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Coach's e-mail:
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Goaltender statistics (if applicable)
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| Year: |
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| Games: |
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| Saves: |
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| Goals against: |
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| Honors and awards received: |
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| Comments, questions or special requests: |
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| Would you like to receive an admission packet? |
Send admission packet
Do NOT send admission packet |
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